Organization Active NPI

Clegg, Guest & Brabant Physical Rehabilitation, P.C.

Doing business as Clegg & Guest Physical Therapy

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1841226412
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501001771 Issued in MI
Legal business name
CLEGG, GUEST & BRABANT PHYSICAL REHABILITATION, P.C.
Doing business as
Clegg & Guest Physical Therapy
Practice address
35413 Schoenherr Rd
Sterling Heights, MI 48312-4258
Phone
(586) 978-7900
Fax
(586) 978-7710
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stanley J Guest, PT, FAAOMPT, OCSNPI 1184650210
Title
Owner/Admin
Phone
(586) 978-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501001771 MI Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501002893 MI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501002831 MI
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201000760 MI

Addresses

Primary practice location

35413 Schoenherr Rd
Sterling Heights, MI 48312-4258

Mailing address

35413 Schoenherr Rd
Sterling Heights, MI 48312-4258
Phone (586) 978-7900

Other identifiers 1

IdentifierTypeStateIssuer
30462OtherBCBS

Other names 1

  • Clegg & Guest Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120120000147 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4385811058 Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

35413 Schoenherr Rd
Sterling Heights, MI 48312
Phone (586) 978-7900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1841226412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35413 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124258",
            "telephone_number": "586-978-7900",
            "fax_number": "586-978-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35413 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124258",
            "telephone_number": "586-978-7900",
            "fax_number": "586-978-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEGG, GUEST & BRABANT PHYSICAL REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "GUEST",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "586-978-7900",
        "authorized_official_credential": "PT, FAAOMPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001771",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002893",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002831",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clegg & Guest Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clegg & Guest Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.