Individual provider Active NPI

Marlon Cabiles

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1851751911
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017055 Issued in MI
Practice address
13359 Stonegate Dr Apt 1
Sterling Heights, MI 48312-6474
Phone
(586) 457-5526
NPI assigned
Mar 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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 5501017055 MI Primary

Addresses

Primary practice location

13359 Stonegate Dr Apt 1
Sterling Heights, MI 48312-6474

Mailing address

13359 Stonegate Dr Apt 1
Sterling Heights, MI 48312-6474
Phone (586) 457-5526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017004045 MI Practitioner - Physical Therapist in Private Practice 8224560032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017055MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Lab LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Via Virtus Clinical Psychology Services PastSince Dec 2, 2024 Accepting new patients

Locations

884 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 781-4374

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1851751911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13359 STONEGATE DR APT 1",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126474",
            "telephone_number": "586-457-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13359 STONEGATE DR APT 1",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126474",
            "telephone_number": "586-457-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABILES",
        "first_name": "MARLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 2, 2016; 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.