JEREMY CROSS (PT, DPT) – Physical Therapist, NPI 1376256065

JEREMY CROSS (PT, DPT) is a healthcare provider. based in Madison heights, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501302426 (MI). The NPI Number for JEREMY CROSS (PT, DPT) is 1376256065

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY CROSS (PT, DPT)
NPI
1376256065
Phone
(248) 658-2110
Address
1467 E 12 Mile Rd
Enumeration Date
28 December 2022
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487141635
Graduation Year
2022 (4 years ago)
PAC ID
1153792858
Group Practice PAC ID
7810277811
Professional Enrollment ID
I20230117000637
Address ID
MI483156028SH45816RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for JEREMY CROSS (PT, DPT)

  • 1467 E 12 Mile Rd

    Madison Heights, MI 480712653

    Phone: (248) 658-2110

    Fax: (248) 658-2111

    Type: Location

  • 33900 HARPER AVE STE 104

    CLINTON TWP, MI 480354258

    Phone: (586) 350-2644

    Type: Mailing

  • 45816 SCHOENHERR RD

    UTICA, MI 483156028

    Phone: (586) 900-2100

    Fax: (586) 900-2101

    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: 2023-01-17

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
I20230117000637IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes51951$0
97530Therapy procedure using functional activities34242$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes34146$0
97140Therapy procedure using manual technique, each 15 minutes31648$0
97535Training for self-care or home management, each 15 minutes4427$0
View full utilization report →

Insurance plans in this area (ZIP 48071)

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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: 7810277811View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
-MI
Orthopedic SurgeryMI
Physician AssistantMI
Sports Medicine, Orthopedic SurgeryMI
A N E S T H E S I O L O G YMI
Orthopedic SurgeryMI
-MI
Physician AssistantMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do payers reference JEREMY CROSS (PT, DPT)?
For JEREMY CROSS (PT, DPT), use NPI 1376256065 as the unique 10-digit identifier.
Would JEREMY CROSS (PT, DPT) appear as active to a payer?
You can treat JEREMY CROSS (PT, DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JEREMY CROSS (PT, DPT)?
At a glance, JEREMY CROSS (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JEREMY CROSS (PT, DPT) associated with Madison Heights?
Public fields place JEREMY CROSS (PT, DPT) around Madison Heights, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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