Individual provider Active NPI

Laurie Fitzgerald Verburg, P.T.

  • Physical Therapist
  • Pinckney, MI
National Provider Identifier
1861686750
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501300654 Issued in MI
Practice address
1201 E M 36 Ste a
Pinckney, MI 48169-8311
Phone
(734) 648-0138
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501300654 MI Primary
Physical Therapist 225100000X 8535 TN

Addresses

Primary practice location

1201 E M 36 Ste a
Pinckney, MI 48169-8311

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

790 Remington Blvd
Bolingbrook, IL 60440-4909

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Sep 3, 2015 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Sep 3, 2015 Accepting new patients
Professional Therapy Services of Tennessee, LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10415 Grand River Rd
Ste 300
Brighton, MI 48116
Phone (810) 229-6140

1110 S Main St
Chelsea, MI 48118
Phone (734) 593-3074

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

2810 Baker Rd
#101
Dexter, MI 48130
Phone (734) 424-9710

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

9604 Chilson Cmns
Pinckney, MI 48169

22450 Pontiac Trl
South Lyon, MI 48178
Phone (248) 486-1110

25700 Pontiac Trl
South Lyon, MI 48178
Phone (248) 366-0403

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

Interoperability endpoints

  • Direct secure messaging: laurie.verburg.p4@direct.athleticoltd.nextgenshare.com

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1861686750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E M 36 STE A",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698311",
            "telephone_number": "734-648-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBURG",
        "first_name": "LAURIE",
        "middle_name": "FITZGERALD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501300654",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.