Individual provider Active NPI

Brandon Michael Gerardy, PT, DPT

  • Physical Therapist
  • Okemos, MI
National Provider Identifier
1699916205
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014369 Issued in MI
Practice address
3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584
Phone
(517) 347-2495
Fax
(517) 347-3540
NPI assigned
Mar 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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 5501014369 MI Primary

Addresses

Primary practice location

3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584

Mailing address

3536 Meridian Crossings
Suite 240
Okemos, MI 48864-4584
Phone (517) 347-2495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090513000064 MI Practitioner - Physical Therapist in Private Practice 5496803983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Crossroads Rehabilitation Limited Partnership Physical Therapist PastSince Aug 3, 2015 Accepting new patients
Center for Physical Rehabilitation and Therapy LP Physical Therapist PastSince Dec 6, 2021 Accepting new patients

Locations

3751 S State Rd
Ionia, MI 48846
Phone (616) 522-0066

5460 Gull Rd
Ste E
Kalamazoo, MI 49048
Phone (269) 238-5044

6947 W Q Ave
Kalamazoo, MI 49009
Phone (269) 447-1560

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

204 W Upton Ave
Reed City, MI 49677
Phone (231) 465-4289

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 3

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": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1699916205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "SUITE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS",
            "address_2": "SUITE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644584",
            "telephone_number": "517-347-2495",
            "fax_number": "517-347-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDY",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.

Verify at the official NPI Registry.