MRS. GWYNNE FORREST WATERS (DPT) – Physical Therapist, NPI 1891757993
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI
Provider Addresses for MRS. GWYNNE FORREST WATERS (DPT)
33900 HARPER AVE STE 104
CLINTON TWP, MI 480354258
Phone: (586) 350-2644
Fax: (586) 541-3735
Type: Mailing
281 ENTERPRISE CT STE 200
BLOOMFIELD HILLS, MI 483020311
Phone: (248) 322-5280
Fax: (248) 333-1915
Type: Location
893, Front Road North, Amherstburg, Essex County, Southwestern Ontario, Ontario, N9V 2R7, Canada
AMHERSTBURG, ONTARIO N9V 2V6
Phone: (519) 736-4074
Type: Mailing
Bloomfield Tennis & Fitness, 799, Denison Court, Bloomfield Industrial Park, Bloomfield Township, Oakland County, Michigan, 48302, United States
BLOOMFIELD TOWNSHIP, MI 483020053
Phone: (248) 322-5280
Fax: (248) 333-1915
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: 2006-12-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061205000064 | I | Physical Therapist In Private Practice | MI | TBD |
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.
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 48035)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MI | 97001 | Physical therapy evaluation | 12 | 11 |
| PHYSICAL THERAPY | MI | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 209 | 35 |
| PHYSICAL THERAPY | MI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 244 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | GA |
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