Individual provider Active NPI

Norton Bahoura, PT, DPT

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1962940494
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018076 Issued in MI
Practice address
33010 Northwestern Hwy
West Bloomfield, MI 48322-3690
Phone
(248) 538-5165
Fax
(248) 538-5164
NPI assigned
Feb 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 5501018076 MI Primary

Addresses

Primary practice location

33010 Northwestern Hwy
West Bloomfield, MI 48322-3690

Mailing address

PO Box 412031
Boston, MA 02241-2031
Phone (914) 294-4050

Other practice location 1

8158 Cooley Lake Rd
White Lake, MI 48386-4309
Phone (248) 956-1894

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509001359 MI Practitioner - Physical Therapist in Private Practice 7416234000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 clinicians

Practice addresses (Care Compare)

404 Perry Ave
Suite B
Big Rapids, MI 49307-2246
Phone (231) 753-1236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018076MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Jun 13, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jan 6, 2020 Accepting new patients
Premier Therapy Centers, Inc Past Accepting new patients

Locations

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

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

540 Main St
Belleville, MI 48111
Phone (734) 489-6440

404 Perry Ave
Ste B
Big Rapids, MI 49307
Phone (231) 753-1236

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

33243 Plymouth Rd
Livonia, MI 48150
Phone (248) 377-8745

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400

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

8158 Cooley Lake Rd
White Lake, MI 48386
Phone (248) 956-1894

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1962940494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412031",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33010 NORTHWESTERN HWY",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223690",
            "telephone_number": "248-538-5165",
            "fax_number": "248-538-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8158 Cooley Lake Rd",
            "address_purpose": "LOCATION",
            "city": "White Lake",
            "state": "MI",
            "postal_code": "483864309",
            "country_code": "US",
            "telephone_number": "248-956-1894",
            "fax_number": "248-430-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHOURA",
        "first_name": "NORTON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.