Michael David McGough, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012554 Issued in MI

Practice address

45551 Mound Rd
Shelby TWP, MI 48317

Phone

(586) 323-9224

Fax

(989) 944-9226

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dwight Orthopedic Rehabilitation Co

  • Physical Therapist
  • Madison Heights, MI
  • NPI 1285651919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912913070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42615 GARFIELD ROAD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-412-2846",
            "fax_number": "586-412-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45551 MOUND RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48317",
            "telephone_number": "586-323-9224",
            "fax_number": "989-944-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Medical PLLC
• Brittany Mattia
• Jessica Marie McCarthy, C.R.N.P.
• McDental Care, P.L.L.C.
• Christine McFarlane, DPT
• Lauren McGuire, COTAL
• McKernan Family Chiropractic Center P.C.
• McKernan Family Chiropractic Center, P.C.
• Chad Donald McKernan, D.C.
• Stacy McNamee, MA, LLP

• Physical Therapist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.