Individual provider Active NPI

Miles Drobish, PT, DPT, ATC

  • Physical Therapist
  • Holt, MI
National Provider Identifier
1356735161
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019847 Issued in MI
Practice address
2380 Cedar St Ste 203
Holt, MI 48842-2211
Phone
(517) 709-4677
Fax
(517) 798-5667
NPI assigned
Mar 19, 2015
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501019847 MI Primary

Addresses

Primary practice location

2380 Cedar St Ste 203
Holt, MI 48842-2211

Mailing address

2380 Cedar St Ste 203
Holt, MI 48842-2211
Phone (517) 709-4677

Other practice location 1

751 S Latson Rd Apt C
Howell, MI 48843-7656
Phone (517) 709-4677

Other practice location 2

615 S Clinton St
Grand Ledge, MI 48837-2355
Phone (517) 709-4677

Other practice location 3

3315 E Michigan Ave Ste 6
Lansing, MI 48912-4600
Phone (517) 709-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420000192 MI Practitioner - Physical Therapist in Private Practice 0840608584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier RehabilitationGroup PAC ID 5698094795, 19 clinicians

Practice addresses (Care Compare)

2380 Cedar St
Suite 203
Holt, MI 48842-2211
Phone (517) 709-4677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Connection, Inc. Single Specialty CurrentSince Apr 2, 2021 Accepting new patients
Premier Rehabilitation Single Specialty CurrentSince Oct 29, 2021 Accepting new patients
Physical Therapy Connection LLC Single Specialty PastSince Jan 1, 2021 Accepting new patients

Locations

615 S Clinton St
Grand Ledge, MI 48837
Phone (517) 709-4677

2380 Cedar St
Ste 203
Holt, MI 48842
Phone (517) 709-4677

751 S Latson Rd
Apt C
Howell, MI 48843
Phone (517) 709-4677

13575 S Airport Rd
Ste 105
Lansing, MI 48906
Phone (517) 668-0000

3315 E Michigan Ave
Ste 6
Lansing, MI 48912
Phone (517) 709-4677

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1356735161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 203",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422211",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 203",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422211",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 S Latson Rd Apt C",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488437656",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S Clinton St",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488372355",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3315 E Michigan Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489124600",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DROBISH",
        "first_name": "MILES",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.