Individual provider Active NPI

Irelyn Ankenbauer, DPT

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1366322646
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
43050 Ford Rd Ste 100
Canton, MI 48187-3374
Phone
(734) 844-9130
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MI Primary

Addresses

Primary practice location

43050 Ford Rd Ste 100
Canton, MI 48187-3374

Mailing address

46222 Brittania LN Unit 24
Canton, MI 48187-6617

Other practice location 1

37699 6 Mile Rd Ste 200
Livonia, MI 48152-3994
Phone (734) 953-4155

Other practice location 2

22601 Allen Rd Ste 200
Woodhaven, MI 48183-2273
Phone (734) 692-4155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027001678 MI Practitioner - Physical Therapist in Private Practice 6305335852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-Pro Physical Therapy LLCGroup PAC ID 0345376919, 7 clinicians
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

43050 Ford Rd
Suite 100
Canton, MI 48187-3374
Phone (734) 953-4155

6123 Highland Rd
Suite C
Waterford, MI 48327-1878
Phone (248) 377-8602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All-Pro Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
All-Pro Physical Therapy LLC Physical Therapist PastSince Sep 15, 2025 Accepting new patients

Locations

43050 Ford Rd
Ste 100
Canton, MI 48187
Phone (734) 844-9130

37699 6 Mile Rd
Ste 200
Livonia, MI 48152
Phone (734) 753-4155

22601 Allen Rd
Ste 200
Woodhaven, MI 48183
Phone (734) 692-4155

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1366322646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46222 BRITTANIA LN UNIT 24",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873374",
            "telephone_number": "734-844-9130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37699 6 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523994",
            "country_code": "US",
            "telephone_number": "734-953-4155",
            "fax_number": "734-953-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22601 Allen Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481832273",
            "country_code": "US",
            "telephone_number": "734-692-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANKENBAUER",
        "first_name": "IRELYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.