Individual provider Active NPI

John Gregory Poole, PT

  • Physical Therapist
  • South Lyon, MI
National Provider Identifier
1447739271
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501020066 Issued in MI
Practice address
51635 10 Mile Rd
South Lyon, MI 48178-9720
Phone
(248) 278-1072
Fax
(248) 278-1073
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501020066 MI Primary
Physical Therapist 225100000X 11974 CT

Addresses

Primary practice location

51635 10 Mile Rd
South Lyon, MI 48178-9720

Mailing address

PO Box 412031
Boston, MA 02241-2031
Phone (914) 294-4050

Other practice location 1

540 Main St
Belleville, MI 48111-2650
Phone (734) 489-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713002990 MI Practitioner - Physical Therapist in Private Practice 9739439118 Reassigns benefits to 2 organizations
I20240316000063 IN Practitioner - Physical Therapist in Private Practice 9739439118 Reassigns benefits to 1 organization

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
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

2052 Whittaker Rd
Ypsilanti, MI 48197-8238
Phone (734) 619-6080

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501020066MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince May 19, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Peak Performance Physical Therapy, PLC Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Nov 10, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

10935 E Washington St
Ste F
Indianapolis, IN 46229
Phone (317) 671-8499

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

540 Main St
Belleville, MI 48111
Phone (734) 489-6440

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

132 S Cedar St
Ste 500
Mason, MI 48854

2052 Whittaker Rd
Ypsilanti, MI 48197
Phone (734) 619-6080

Organizations & group practices 5

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1447739271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51635 10 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789720",
            "telephone_number": "248-278-1072",
            "fax_number": "248-278-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Main St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "MI",
            "postal_code": "481112650",
            "country_code": "US",
            "telephone_number": "734-489-6440",
            "fax_number": "734-418-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020066",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.