Individual provider Active NPI

Michael Thomas Mulcahy, MPT

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1689174278
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005376 Issued in MI
Practice address
30575 Woodward Ave Ste 210
Royal Oak, MI 48073-0985
Phone
(248) 280-8561
Fax
(248) 280-8552
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 5501005376 MI Primary

Addresses

Primary practice location

30575 Woodward Ave Ste 210
Royal Oak, MI 48073-0985

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000722 MI Practitioner - Physical Therapist in Private Practice 9234113051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Neurosurgical Associates PCGroup PAC ID 9739139759, 34 clinicians

Practice addresses (Care Compare)

1500 W Big Beaver Rd
150 Michigan Institute
Troy, MI 48084-3552
Phone (877) 784-3667

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
University Neurosurgical Associates PC CurrentSince Feb 14, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 18, 2022 Accepting new patients
University Neurosurgical Associates, PC CurrentSince Feb 14, 2024 Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

75 W Square Lake Rd
Troy, MI 48098
Phone (248) 688-9004

1500 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

Interoperability endpoints

  • Direct secure messaging: michael.mulcahympt.p1@direct.mhsineuro.nextgenshare.com

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1689174278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 WOODWARD AVE STE 210",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730985",
            "telephone_number": "248-280-8561",
            "fax_number": "248-280-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.