Active NPI
Manuel Gajisan Gepilano Jr., PT
- Physical Therapist
- Saginaw, MI
National Provider Identifier
1952385270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501003656
- Practice address
- 4884 Gratiot Rd
Suite 19
Saginaw, MI 48638-6270 - Phone
- (989) 799-9150
- Fax
- (989) 799-9153
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501003656 | MI | Primary |
Addresses
Primary practice location
4884 Gratiot Rd
Suite 19
Saginaw, MI 48638-6270
Mailing address
4884 Gratiot Rd Ste 19
Saginaw, MI 48638-6270
Phone (989) 799-9150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501003656 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Rehabilitation-Saginaw, LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Saginaw, MI
- NPI 1699816033
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1952385270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4884 GRATIOT RD STE 19",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486386270",
"telephone_number": "989-799-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4884 GRATIOT RD",
"address_2": "SUITE 19",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486386270",
"telephone_number": "989-799-9150",
"fax_number": "989-799-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEPILANO",
"first_name": "MANUEL",
"middle_name": "GAJISAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501003656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.