Gerardo B. Carbonell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006432 Issued in MI

Practice address

1000 John R Rd Ste 114
Troy, MI 48083-4317

Phone

(248) 850-8745

Fax

(248) 843-0044

NPI assigned

Nov 26, 2012

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Care Therapy LLCGroup PAC ID 5890122816, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Interstate Rehab

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1992578231

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Interstate Rehab Inc

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1629359369
  NPD Authorized official
• Priority One Home Health Services Inc.

  • Home Health Agency
  • Warren, MI
  • NPI 1477550218
  NPD Authorized official
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366
  Medicare reassignment
• Total Care Therapy LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1639717812
  Care Compare group

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1942544341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 114",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-850-8745",
            "fax_number": "248-843-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 114",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-850-8745",
            "fax_number": "248-843-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28091 Dequindre Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713070",
            "country_code": "US",
            "telephone_number": "248-439-0455",
            "fax_number": "248-439-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6653 Wild Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223877",
            "country_code": "US",
            "telephone_number": "586-530-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "GERARDO",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Cannon, MD
• Gabriella Cantore
• Albert L. Capili, D.O.
• David Caponi, LMSW
• Michael Joseph Louis Caporuscio, PA-C
• Marcia Brooks Cardelli, M.D.
• Stephanie Cardillo
• Cardiovascular Care PC
• Kelly Cardozo
• Care Assist Homecare LLC

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.