Individual provider Active NPI

Thomas Linebaugh, PT

  • Physical Therapist
  • Novi, MI
National Provider Identifier
1609859552
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006648 Issued in MI
Practice address
26750 Providence Pkwy Ste 240
Novi, MI 48374-1211
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 5501006648 MI Primary

Addresses

Primary practice location

26750 Providence Pkwy Ste 240
Novi, MI 48374-1211

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other practice location 1

28634 Lincolnview Dr
Farmington Hills, MI 48334-5250
Phone (248) 889-1708

Other identifiers 1

IdentifierTypeStateIssuer
4726120MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120511000235 MI Practitioner - Physical Therapist in Private Practice 9537166095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
69.19
Promoting interoperability
100
Improvement activities
40
Cost
83.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501006648MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Porretta Center for Orthopaedic Surgery, PLLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Medical X-Ray Consultants, LTD Past Accepting new patients

Locations

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

26750 Providence Pkwy
Ste 200
Novi, MI 48374
Phone (248) 349-7015

26750 Providence Pkwy
Ste 240
Novi, MI 48374
Phone (248) 687-7440

22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306

Organizations & group practices 4

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1609859552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY STE 240",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741211",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28634 Lincolnview Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345250",
            "country_code": "US",
            "telephone_number": "248-889-1708",
            "fax_number": "888-791-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINEBAUGH",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4726120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.