MARIA CECILIA R SAN JUAN (PT) – Physical Therapist, NPI 1225088206

MARIA CECILIA R SAN JUAN (PT) is a healthcare provider. based in Troy, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501004101 (MI). The NPI Number for MARIA CECILIA R SAN JUAN (PT) is 1225088206

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MARIA CECILIA R SAN JUAN (PT)
NPI
1225088206
Phone
(248) 649-2323
Address
1500 W BIG BEAVER RD
Enumeration Date
11 May 2006
Last Update Date
5 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488175666
Graduation Year
1989 (37 years ago)
PAC ID
8022033109
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20051007000417
Address ID
MI480835231TR3400XRDXX300
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

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MARIA CECILIA R SAN JUAN (PT)

  • West Big Beaver Road, Big Beaver, Troy, Oakland County, Michigan, 48304, United States

    STE 150

    TROY, MI 480843552

    Phone: (248) 649-2323

    Fax: (248) 649-5998

    Type: Mailing

  • 1800, West Big Beaver Road, Troy, Oakland County, Michigan, 48084, United States

    SUITE 150

    TROY, MI 480843506

    Phone: (248) 649-2323

    Fax: (248) 649-5998

    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: 2005-10-07

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
I20051007000417IPhysical Therapist In Private PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48084)

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Provider's Procedures

MARIA CECILIA R SAN JUAN (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation2524

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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Where can patients find MARIA CECILIA R SAN JUAN (PT)'s NPI?
You can confirm MARIA CECILIA R SAN JUAN (PT) with NPI 1225088206; it appears in the national provider directory.
Does this profile mean MARIA CECILIA R SAN JUAN (PT) is currently active?
Yes — MARIA CECILIA R SAN JUAN (PT) appears active in the national provider directory.
What kind of provider is MARIA CECILIA R SAN JUAN (PT)?
The page reflects Physical Therapist for MARIA CECILIA R SAN JUAN (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARIA CECILIA R SAN JUAN (PT)?
The page summarizes Troy, Michigan for MARIA CECILIA R SAN JUAN (PT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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