Individual provider Active NPI

Rodney P Ranger

  • Physical Therapist
  • Traverse City, MI
National Provider Identifier
1972168987
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009269 Issued in MI
Practice address
1650 Barlow St
Traverse City, MI 49686-4721
Phone
(231) 941-3100
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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 5501009269 MI Primary

Addresses

Primary practice location

1650 Barlow St
Traverse City, MI 49686-4721

Mailing address

4576 Black Bear Dr
Traverse City, MI 49685-7343
Phone (231) 357-9904

Other names 1

  • Mr. Rod Ranger Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003003348 MI Practitioner - Physical Therapist in Private Practice 2365773405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501009269MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients

Locations

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1972168987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 BLACK BEAR DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496857343",
            "telephone_number": "231-357-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BARLOW ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864721",
            "telephone_number": "231-941-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGER",
        "first_name": "RODNEY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROD",
            "last_name": "RANGER",
            "prefix": "MR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.