Individual provider Active NPI

Michael Cavataio

  • Physical Therapist
  • Plymouth, MI
National Provider Identifier
1851003941
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501020058 Issued in MI
Practice address
851 Penniman Ave
Plymouth, MI 48170-1621
Phone
(248) 349-9595
NPI assigned
Dec 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 5501020058 MI Primary

Addresses

Primary practice location

851 Penniman Ave
Plymouth, MI 48170-1621

Mailing address

PO Box 412031
Boston, MA 02241-2031
Phone (914) 294-4050

Other practice location 1

16071 15 Mile Rd
Clinton Township, MI 48035-2571
Phone (586) 981-1086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106001514 MI Practitioner - Physical Therapist in Private Practice 7214307339 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians
KRS of Clawson LLCGroup PAC ID 2163527276, 17 clinicians

Practice addresses (Care Compare)

16071 15 Mile Rd
Clinton Township, MI 48035-2571
Phone (586) 981-1086

800 -A Nine Mile Rd
KRS of Clawson
Ferndale, MI 48220-1221
Phone (248) 905-1900

Merit-based Incentive Payment System (MIPS)

Final score
75.18 of 100Reported as group
Quality
74.03
Improvement activities
40
Cost
64.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501020058MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary Rehabilitation Services L.L.C Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
HQ of Ferndale East LLC Physical Therapist CurrentSince Dec 22, 2025 Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients
KRS of Clawson LLC CurrentSince Oct 3, 2023 Accepting new patients
Rehab R US LLC Physical Therapist PastSince Feb 1, 2023 Accepting new patients

Locations

901 W Maple Rd
Clawson, MI 48017
Phone (248) 435-8230

16071 15 Mile Rd
Clinton Township, MI 48035
Phone (586) 981-1086

42621 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-6688

42621 Garfield Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 838-2444

3055 Hilton Rd
Ste A
Ferndale, MI 48220
Phone (248) 955-9889

800 W 9 Mile Rd
#A
Ferndale, MI 48220
Phone (248) 905-1900

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

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

3856 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 233-4944

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

3334 Rochester Rd
Troy, MI 48083
Phone (248) 953-2993

6585 Rochester Rd
Ste 102
Troy, MI 48085
Phone (833) 823-3300

8158 Cooley Lake Rd
White Lake, MI 48386
Phone (248) 956-1894

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": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1851003941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PENNIMAN AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701621",
            "telephone_number": "248-349-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16071 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480352571",
            "country_code": "US",
            "telephone_number": "586-981-1086",
            "fax_number": "586-580-4177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVATAIO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.