Individual provider Active NPI

Trevor Rupert

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1891526570
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303493 Issued in MI
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

Updated by the provider on Jul 16, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20240823000379 MI Practitioner - Physical Therapist in Private Practice 5890234710 Reassigns benefits to 2 organizations

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
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians
Michigan Orthopaedic Surgeons PLLCGroup PAC ID 7810277811, 127 clinicians

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

LicenseStateTypeSpecialty
5501303493MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Michigan Orthopaedic Surgeons, PLLC Physical Therapist CurrentSince Sep 20, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 13, 2024 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.

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.

Verify at the official NPI Registry.