Individual provider Active NPI

Julie Plichota

  • Physical Therapist
  • Saint Clair Shores, MI
National Provider Identifier
1932651338
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017229 Issued in MI
Practice address
24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone
(586) 204-8160
NPI assigned
Nov 1, 2016
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2025-0124 NM
Physical Therapist 225100000X PT033243 PA
Physical Therapist 225100000X 054152-01 NY
Physical Therapist 225100000X 5501017229 MI Primary
Physical Therapist 225100000X PT021644 OH
Physical Therapist 225100000X 308190 CA

Addresses

Primary practice location

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207

Mailing address

169 Madison Ave Ste 15501
New York, NY 10016-5101
Phone (385) 308-8034

Other practice location 1

65422 Van Dyke Ave Suite 200
Washington, MI 48095
Phone (586) 935-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220002093 MI Practitioner - Physical Therapist in Private Practice 1153602636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.14 of 100Reported as group
Quality
80.64
Promoting interoperability
100
Improvement activities
40
Cost
79.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308190CAMDPhysical Therapist
PT-2025-0124NMMDPhysical Therapist
054152-01NYMDPhysical Therapist
PT021644OHMDPhysical Therapist
PT033243PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Apr 17, 2025 Accepting new patients
Associated Orthopedists of Detroit PC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jun 25, 2018 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jun 25, 2018 Accepting new patients
Associated Orthopedists of Detroit, PC Physical Therapist CurrentSince Nov 2, 2022 Accepting new patients
Empower Physical Therapy and Fitness Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

31120 Gratiot Ave
Roseville, MI 48066
Phone (586) 541-2220

50505 Schoenherr Rd
Ste 120
Shelby Township, MI 48315
Phone (586) 412-1411

24715 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 777-9000

24715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 779-2585

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1932651338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "385-308-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-204-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65422 Van Dyke Ave Suite 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "48095",
            "country_code": "US",
            "telephone_number": "586-935-1100",
            "fax_number": "586-935-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLICHOTA",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2025-0124",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033243",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054152-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017229",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021644",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308190",
            "primary": false
        }
    ],
    "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 Aug 7, 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.