Individual provider Active NPI

Gervacio Marasigan Laqui, MHSCPT,MTC,MGS

  • Sports Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1407891344
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
5501007799 Issued in MI
Practice address
37300 Dequindre Rd
Suite 300
Sterling Heights, MI 48310-3591
Phone
(586) 983-2498
Fax
(586) 983-2501
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 5501007799 MI Primary
Orthopedic Physical Therapist 2251X0800X 5501007799 MI

Addresses

Primary practice location

37300 Dequindre Rd
Suite 300
Sterling Heights, MI 48310-3591

Mailing address

2037 Deveere Dr
Sterling Heights, MI 48310-5853
Phone (586) 883-4176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabone-Center for Orthopedic & Sports Physical Therapy, LLC Sports PastSince Jul 10, 2006 Accepting new patients

Organizations & group practices 1

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407891344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 DEVEERE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105853",
            "telephone_number": "586-883-4176",
            "fax_number": "586-983-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "SUITE 300",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-983-2498",
            "fax_number": "586-983-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUI",
        "first_name": "GERVACIO",
        "middle_name": "MARASIGAN",
        "credential": "MHSCPT,MTC,MGS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MI",
            "license": "5501007799",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501007799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.