Susan Gruber, PT
Individual provider Active NPI Physical Therapist · Brooklyn, MI
NPI 1821189648 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1821189648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501009563 (MI)
- Practice address
- 250 S Main St
Brooklyn, MI 49230 - Phone
- (517) 592-8695
- Fax
- (517) 592-5081
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
250 S Main St
Suite 4
Brooklyn, MI 49230-9114
Phone (517) 592-8695
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070103000356 | MI | Practitioner - Physical Therapist in Private Practice | 9931109667 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Gary Gray Physical Therapy Clinic Inc. | Physical Therapist | Past | Accepting new patients |
| Transcend Physical Therapy | Physical Therapist | Past | Accepting new patients |
| James R Creps PT PC | Physical Therapist | Past | Accepting new patients |
Locations
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141
2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820
250 S Main St
Ste 4
Brooklyn, MI 49230
Phone (517) 592-8695
1485 N Michigan Ave
Ste 100
Howell, MI 48843
Phone (517) 545-5880
Interoperability endpoints
- susan.gruber.p4@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009563 | MI | Yes |
Addresses
Primary practice location
250 S Main St
Brooklyn, MI 49230
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other providers in Brooklyn, MI
- Leonard Joseph Gallagher II
- Gene E Kielhorn, D.O.,P.C.
- Giving Tree Therapy PLLC
- Sarah Goodell
- Sarah Goodwin
- Mandy Nicole Gutierrez
- Austin B Hall
- Victoria Hallett
- Erin Hassenger
- Autumn Lynne Heaton
All providers in Brooklyn, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.