Active NPI
Stephen Charron, DPT
- Physical Therapist
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303155
- Practice address
- 20229 E 9 Mile Rd Ste 240
Saint Clair Shores, MI 48080-1775 - Phone
- (586) 265-5252
- NPI assigned
- Dec 22, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Shelby Township, MI
- NPI 1770788739
-
- Physical Therapy Clinic/Center
- Mount Clemens, MI
- NPI 1619172673
-
- Durable Medical Equipment & Medical Supplies
- Shelby TWP, MI
- NPI 1902769029
-
- Physical Therapy Clinic/Center
- Chesterfield, MI
- NPI 1649643479
NPD Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KSS of Shelby LLC
Practice addresses (Care Compare)
20229 E 9 Mile Rd
Suite 240
Saint Clair Shores, MI 48080-1775
Phone (586) 265-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111004394 | MI | Practitioner - Physical Therapist in Private Practice | 4587015755 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501303155 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HQ of Chesterfield LLC | Physical Therapist | Current | Accepting new patients |
| KSS of Shelby LLC | Current | Accepting new patients | |
| CKS of Mt Clemens LLC | Physical Therapist | Current | Accepting new patients |
| KSS of Shelby LLC | Physical Therapist | Current | Accepting new patients |
Locations
32155 23 Mile Rd
Chesterfield, MI 48047
Phone (248) 788-6100
21550 Harrington St
Ste D
Clinton Twp, MI 48036
Phone (586) 783-7590
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
20229 E 9 Mile Rd
#240
Saint Clair Shores, MI 48080
Phone (586) 265-5252
48875 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9602
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303155 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
20229 E 9 Mile Rd Ste 240
Saint Clair Shores, MI 48080-1775
Mailing address
1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2023.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1922877604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 STAR BATT DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093708",
"telephone_number": "248-601-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20229 E 9 MILE RD STE 240",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801775",
"telephone_number": "586-265-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARRON",
"first_name": "STEPHEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.