Active NPI
Jeffrey Pepera
- Physical Therapist
- Belleville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303007
- Practice address
- 540 Main St
Belleville, MI 48111-2650 - Phone
- (734) 489-6440
- Fax
- (734) 418-7553
- NPI assigned
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501303007 | MI | Primary |
Addresses
Primary practice location
540 Main St
Belleville, MI 48111-2650
Mailing address
PO Box 412031
Boston, MA 02241-2031
Phone (914) 294-4050
Other practice location 1
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303007 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Physical Therapist | Current | Accepting new patients |
Locations
540 Main St
Belleville, MI 48111
Phone (734) 489-6440
6947 W Q Ave
Kalamazoo, MI 49009
Phone (269) 447-1560
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730
1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730
13329 Portage Rd
Vicksburg, MI 49097
Phone (269) 649-2400
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1528848686",
"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": "540 MAIN ST",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112650",
"telephone_number": "734-489-6440",
"fax_number": "734-418-7553"
}
],
"practiceLocations": [
{
"address_1": "36475 Five Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481541971",
"country_code": "US",
"telephone_number": "734-655-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEPERA",
"first_name": "JEFFREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-04",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.