Unknown Individual – Physical Therapist, NPI 1376504852

Unknown Individual is a healthcare provider. based in Southgate, Michigan. specializing in Physical Therapist. They hold a License No. 5501009556 (MI). The NPI Number for Unknown Individual is 1376504852

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376504852
Phone
(734) 284-6582
Address
15245 Dix Toledo Rd
Deactivation Date
6 December 2023
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

Provider Addresses for Unknown Individual

  • 15245 Dix Toledo Rd

    Southgate, MI 48195

    Phone: (734) 284-6582

    Fax: (734) 284-7085

    Type: Location

  • Rehabilitation Institute of Michigan, 261, Mack Avenue, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012495

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

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

Insurance plans in this area (ZIP 48195)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1376504852 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Southgate, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

ACTIVE THERAPY SERVICES INC

Physical Therapist
Northline Road, Southgate, Wayne County, Michigan, 48180, United States
NPI: 1801841093
Northline Road, Southgate, Wayne County, Michigan, 48180, United States
NPI: 1831146828

Unknown Individual

Physical Therapist
Harper Avenue, Saint Clair Shores, Clinton Township, Macomb County, Michigan, 48036, United States
NPI: 1265470728
West Sam Houston Parkway South, Houston, Harris County, Texas, 77031, United States
NPI: 1902847833
15400 Northline Rd
NPI: 1063456119
Northline Road, Southgate, Wayne County, Michigan, 48180, United States
NPI: 1093743122

NOVA M CABALANG (PT)

Physical Therapist
Michigan Orthopedic Services, 15400, Northline Road, Southgate, Wayne County, Michigan, 48195, United States
NPI: 1871510214

SCOTT DELCOMYN (PT)

Physical Therapist
Michigan Orthopedic Services, 15400, Northline Road, Southgate, Wayne County, Michigan, 48195, United States
NPI: 1386661742

HEATHER LYNN VAVRINA (PT)

Physical Therapist
Advanced Physical Therapy, 15245, Dix-Toledo Highway, Southgate, Wayne County, Michigan, 48195, United States
NPI: 1710094883