MICHAEL JOHN KOURY (PT) – Physical Therapist, NPI 1093799496

MICHAEL JOHN KOURY (PT) is a healthcare provider. based in Castro valley, California. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT12179 (CA). The NPI Number for MICHAEL JOHN KOURY (PT) is 1093799496

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHN KOURY (PT)
NPI
1093799496
Phone
(510) 537-3991
Address
20211 PATIO DR
Enumeration Date
30 November 2005
Last Update Date
21 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5105373991
Graduation Year
1982 (44 years ago)
PAC ID
4082770805
Group Practice PAC ID
7618956889
Professional Enrollment ID
I20090305000094
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MICHAEL JOHN KOURY (PT)

  • Patio Drive, Castro Valley, Alameda County, California, 94522, United States

    #205

    CASTRO VALLEY, CA 945464338

    Phone: (510) 537-3991

    Fax: (510) 537-7997

    Type: Mailing

  • 20211, Patio Drive, Castro Valley, Alameda County, California, 94546, United States

    STE 205

    CASTRO VALLEY, CA 94546

    Phone: (510) 537-3991

    Fax: (510) 537-7997

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090305000094IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,538133$0
97140Therapy procedure using manual technique, each 15 minutes936119$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes692128$0
97530Therapy procedure using functional activities7927$0
97162Evaluation for physical therapy, typically 30 minutes7974$0
View full utilization report →

Insurance plans in this area (ZIP 94546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618956889View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
-CA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify MICHAEL JOHN KOURY (PT) for billing?
Administrative and clinical systems typically use NPI 1093799496 for MICHAEL JOHN KOURY (PT).
Is MICHAEL JOHN KOURY (PT) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL JOHN KOURY (PT) as active.
What services align with MICHAEL JOHN KOURY (PT)'s listing?
MICHAEL JOHN KOURY (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MICHAEL JOHN KOURY (PT)?
The directory associates MICHAEL JOHN KOURY (PT) with Castro Valley, California. Check all listed addresses for suites or satellite offices.
Who maintains MICHAEL JOHN KOURY (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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