Individual provider Active NPI

Susan Norris Baylerian

  • Physical Therapist
  • Brighton, MI
National Provider Identifier
1932444601
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008456 Issued in MI
Practice address
205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659
Phone
(810) 588-4133
Fax
(810) 588-4124
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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 5501008456 MI Primary

Addresses

Primary practice location

205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659

Mailing address

205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659
Phone (810) 588-4133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130312000473 MI Practitioner - Physical Therapist in Private Practice 9739334079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Motion Physical Therapy, PLLCGroup PAC ID 2668661943, 3 clinicians

Practice addresses (Care Compare)

205 W Grand River Ave
Suite 201
Brighton, MI 48116-1659
Phone (810) 588-4133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy, PLLC Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients

Locations

205 W Grand River Ave
Brighton, MI 48116
Phone (248) 220-4499

205 W Grand River Ave
Ste 201
Brighton, MI 48116
Phone (810) 588-4133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1932444601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "810-588-4133",
            "fax_number": "810-588-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "address_2": "SUITE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "810-588-4133",
            "fax_number": "810-588-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLERIAN",
        "first_name": "SUSAN",
        "middle_name": "NORRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.