Individual provider Active NPI

Elizabeth Ann Peruski, D.P.T., A.T.C.

  • Physical Medicine & Rehabilitation Physician
  • Oxford, MI
National Provider Identifier
1952377244
Registry record updated Mar 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5501012728 Issued in MI
Practice address
53 S Washington St
Oxford, MI 48371-6433
Phone
(248) 236-0035
Fax
(248) 236-0125
NPI assigned
Feb 27, 2006
Last updated
Mar 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5501012728 MI Primary

Addresses

Primary practice location

53 S Washington St
Oxford, MI 48371-6433

Mailing address

878 S Rochester Rd
Rochester Hills, MI 48307-2740
Phone (248) 236-0035

Other identifiers 1

IdentifierTypeStateIssuer
0F33354OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000438 MI Practitioner - Physical Therapist in Private Practice 9234148180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HQ of Oxford LLCGroup PAC ID 4688627656, 23 clinicians

Practice addresses (Care Compare)

765 S Lapeer Rd
Oxford, MI 48371-6510
Phone (248) 236-0035

Merit-based Incentive Payment System (MIPS)

Final score
68.11 of 100Reported as group
Quality
62.17
Improvement activities
40
Cost
63.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HQ of Oxford LLC CurrentSince Feb 20, 2009 Accepting new patients
Orion Physical Therapy, PLLC PastSince Jul 1, 2003 Accepting new patients

Locations

53 S Washington St
Oxford, MI 48371
Phone (248) 236-0035

765 S Lapeer Rd
Oxford, MI 48371
Phone (248) 236-0035

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404

Organizations & group practices 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238284800000",
    "number": "1952377244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072740",
            "telephone_number": "248-236-0035",
            "fax_number": "248-236-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716433",
            "telephone_number": "248-236-0035",
            "fax_number": "248-236-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUSKI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2009-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501012728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F33354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; 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.