Unknown Individual – Physical Therapist, NPI 1699781757

Unknown Individual is a healthcare provider. based in Clinton township, Michigan. specializing in Physical Therapist. They hold a License No. 5501003613 (MI). The NPI Number for Unknown Individual is 1699781757

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699781757
Phone
(586) 416-9100
Address
33900 HARPER AVE
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5868066284
Graduation Year
1988 (38 years ago)
PAC ID
5496971780
Group Practice PAC ID
4789905605
Professional Enrollment ID
I20140722002412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Harper Avenue, Saint Clair Shores, Clinton Township, Macomb County, Michigan, 48036, United States

    SUITE 104

    CLINTON TOWNSHIP, MI 480354258

    Phone: (586) 416-9100

    Fax: (586) 416-9103

    Type: Mailing

  • 28001, Schoenherr Road, Warren, Macomb County, Michigan, 48088, United States

    SUITE 6

    WARREN, MI 480884396

    Phone: (586) 806-6284

    Fax: (586) 806-6274

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 minutes2,72176$0
97140Therapy procedure using manual technique, each 15 minutes89572$0
97530Therapy procedure using functional activities12536$0
97161Evaluation for physical therapy, typically 20 minutes5752$0
97116Therapy procedure for walking training, each 15 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 48035)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation3835
PHYSICAL THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes149671
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes52072

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: 4789905605View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-IL
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1699781757.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Clinton Township?
Public fields place Unknown Individual around Clinton Township, Michigan. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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