Active NPI
Trevor Rupert
- Physical Therapist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303493
- Practice address
- 30575 Woodward Ave Ste 210
Royal Oak, MI 48073-0985 - Phone
- (248) 621-5775
- Fax
- (248) 280-8552
- NPI assigned
- Aug 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303493 | MI | Primary |
Addresses
Primary practice location
30575 Woodward Ave Ste 210
Royal Oak, MI 48073-0985
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other practice location 1
21533 Ecorse Rd
Taylor, MI 48180-1853
Phone (313) 359-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21533 Ecorse Rd
Taylor, MI 48180-1853
Phone (313) 359-8001
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303493 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Orthopaedic Surgeons, PLLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
30575 Woodward Ave
Ste 210
Royal Oak, MI 48073
Phone (248) 280-8561
21533 Ecorse Rd
Taylor, MI 48180
Phone (313) 359-8001
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.
-
- Orthopaedic Surgery Physician
- Southfield, MI
- NPI 1306394309
Physical Therapist
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1891526570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30575 WOODWARD AVE STE 210",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480730985",
"telephone_number": "248-621-5775",
"fax_number": "248-280-8552"
}
],
"practiceLocations": [
{
"address_1": "21533 Ecorse Rd",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481801853",
"country_code": "US",
"telephone_number": "313-359-8001",
"fax_number": "313-359-8002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUPERT",
"first_name": "TREVOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-13",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.