Individual provider Active NPI

Madeline Reau

  • Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1770357154
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302981 Issued in MI
Practice address
3145 W Clark Rd Ste 106
Ypsilanti, MI 48197-1197
Phone
(734) 712-0142
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 5501302981 MI Primary

Addresses

Primary practice location

3145 W Clark Rd Ste 106
Ypsilanti, MI 48197-1197

Mailing address

3075 W Clark Rd Ste 200
Ypsilanti, MI 48197-1103
Phone (734) 528-9760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205002741 MI Practitioner - Physical Therapist in Private Practice 0648629444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians
Move Physical Therapy PLLCGroup PAC ID 9133519788, 5 clinicians

Practice addresses (Care Compare)

3075 W Clark Rd
Ypsilanti, MI 48197-1103

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

428 S Monroe St
Monroe, MI 48161-2249
Phone (734) 636-0286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302981MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Probility Therapy Services CurrentSince Nov 9, 2023 Accepting new patients
Move Physical Therapy PLLC Physical Therapist CurrentSince Apr 19, 2024 Accepting new patients
Probility Therapy Services Physical Therapist CurrentSince Nov 9, 2023 Accepting new patients

Locations

428 S Monroe St
Ste 106
Monroe, MI 48161
Phone (734) 636-0286

3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760

3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760

3075 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 528-9760

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1770357154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 W CLARK RD STE 200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971103",
            "telephone_number": "734-528-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD STE 106",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971197",
            "telephone_number": "734-712-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAU",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.