Active NPI
Thomas Linebaugh, PT
- Physical Therapist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006648
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4726120 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.88 of 100
- Quality
- 69.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006648 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Porretta Center for Orthopaedic Surgery, PLLC | Physical Therapist | Current | Accepting new patients |
| The Porretta Center for Orthopaedic Surgery, PLLC | Current | 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.
-
- Orthopaedic Surgery Physician
- Novi, MI
- NPI 1306818331
Physical Therapist
-
- Physical Therapist
- Highland, MI
- NPI 1013031616
-
- Customized Equipment (DME)
- Howell, MI
- NPI 1407428584
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
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.