Individual provider Active NPI

Pamela Lynne Geboski, PT

  • Physical Therapist
  • Howell, MI
National Provider Identifier
1427360106
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012032 Issued in MI
Practice address
620 Byron Rd
Howell, MI 48843-1002
Phone
(517) 545-6333
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 5501012032 MI Primary

Addresses

Primary practice location

620 Byron Rd
Howell, MI 48843-1002

Mailing address

3075 W Clark Rd Ste 200
Ypsilanti, MI 48197-1103
Phone (734) 528-9760

Other practice location 1

2810 W Grand River Ave Ste 100
Howell, MI 48843-8200
Phone (517) 545-3200

Other practice location 2

125 E Grand River Ave
Fowlerville, MI 48836-5137
Phone (517) 223-8308

Other practice location 3

7701 Grand River Rd Ste 100
Brighton, MI 48114-9396
Phone (517) 579-2839

Other names 1

  • Pamela Lynne Durocher Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000127 MI Practitioner - Physical Therapist in Private Practice 7810945557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

4379 E Grand River Ave
Suite 12
Howell, MI 48843-6583
Phone (517) 545-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Probility Therapy Services CurrentSince Nov 29, 2022 Accepting new patients
Probility Therapy Services Physical Therapist CurrentSince Nov 29, 2022 Accepting new patients

Locations

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760

3075 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 528-9760

3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760

Organizations & group practices 2

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1427360106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 W CLARK RD STE 200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971103",
            "telephone_number": "734-528-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Grand River Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438200",
            "country_code": "US",
            "telephone_number": "517-545-3200",
            "fax_number": "517-545-3236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Fowlerville",
            "state": "MI",
            "postal_code": "488365137",
            "country_code": "US",
            "telephone_number": "517-223-8308",
            "fax_number": "517-223-8344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7701 Grand River Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149396",
            "country_code": "US",
            "telephone_number": "517-579-2839",
            "fax_number": "517-579-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBOSKI",
        "first_name": "PAMELA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "DUROCHER",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.