Active NPI
Bryan Anthony Forton
- Physical Therapist
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019050
- Practice address
- 52461 Butternut Dr
Shelby Township, MI 48316-2947 - Phone
- (248) 266-5721
- NPI assigned
- Jan 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019050 | MI | Primary |
Addresses
Primary practice location
52461 Butternut Dr
Shelby Township, MI 48316-2947
Mailing address
PO Box 80143
Rochester, MI 48308-0143
Phone (586) 295-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Livernois Rd
Troy, MI 48083-5231
Phone (248) 817-5666
7005 Pontiac TRL
West Bloomfield, MI 48323-2181
Phone (248) 681-2476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019050 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Elevate Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010
7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 6
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.
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- NPI 1568252195
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- NPI 1225879489
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1407310394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80143",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483080143",
"telephone_number": "586-295-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52461 BUTTERNUT DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483162947",
"telephone_number": "248-266-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTON",
"first_name": "BRYAN",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-25",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.