Healthcore Physical Therapy – Physical Therapist, NPI 1659446359

Healthcore Physical Therapy is a healthcare provider. based in Riverview, Michigan. specializing in Physical Therapist. The organization holds a License No. 5501012030 (MI). The NPI Number for Healthcore Physical Therapy is 1659446359

Main info

Organization
Name
Healthcore Physical Therapy
NPI
1659446359
Phone
(734) 288-3739
Address
13638 SIBLEY RD
Authorized Official
DR. MICHAEL T PRUDHOMME OWNER
Enumeration Date
21 November 2006
Last Update Date
28 August 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Healthcore Physical Therapy

  • 13638, Sibley Road, Riverview, Wayne County, Michigan, 48193, United States

    RIVERVIEW, MI 481937406

    Phone: (734) 288-3739

    Fax: (734) 288-3745

    Mailing address matches the actual address.

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: 2014-08-08

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
O20140808001432OPhysical/Occupational Therapy Group 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 48193)

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Reviews

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Frequently asked questions

What is the registry number for Healthcore Physical Therapy?
The registry entry for Healthcore Physical Therapy shows NPI 1659446359.
Quick check: is Healthcore Physical Therapy active?
Public NPPES data shows Healthcore Physical Therapy with an active NPI status right now.
What type of care does Healthcore Physical Therapy provide?
Healthcore Physical Therapy's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to Healthcore Physical Therapy?
Healthcore Physical Therapy shows a connection to Riverview, Michigan in registry-derived data.
Who maintains Healthcore Physical Therapy's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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