NORTHSPORT PHYSICAL THERAPY & REHABILITATION PC
NPI 1003253170
Physical Therapist in Fairview, MI

Active since May 30, 2013
1968 E MILLER RD, FAIRVIEW, MI 48621(989) 848-2525(989) 848-2999 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northsport Physical Therapy & Rehabilitation Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSPORT PHYSICAL THERAPY & REHABILITATION PC (NPI 1003253170) is a healthcare organization registered as a physical therapist in Fairview, Michigan and active in the NPI registry since May 2013. The organization lists Lisa C. Petrie, President/pt, as its authorized official.

NPPES Registry Identity

NPI1003253170
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameNORTHSPORT PHYSICAL THERAPY & REHABILITATION PC
Location Address1968 E MILLER RDFairview, MI 48621-8717
Mailing Address1622 Dickerson RdGaylord, MI 49735-9206 · (989) 848-2525 · Fax (989) 848-2999
Fax(989) 848-2999
Organization SubpartNo
Authorized OfficialLisa C. PetriePresident/pt · (989) 848-2525
Enumeration DateMay 30, 2013
Last NPPES UpdateNovember 5, 2013
✔ NPI 1003253170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1968 E MILLER RD, Fairview, MI 48621

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northsport Physical Therapy & Rehabilitation Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20131212000282Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northsport Physical Therapy & Rehabilitation PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1477850121
1968 E MILLER RD
Fairview, MI 48621
(989) 848-2525
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1699082545
1622 DICKERSON RD
Gaylord, MI 49735
(989) 731-1777
✔ Accepts Medicare37 mi
Physical Therapist in Private Practice
NPI 1881113645
13105 SHAVEY RD. SUITE 5
Dewitt, MI 48820
(517) 853-6800
✔ Accepts Medicare132 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northsport Physical Therapy & Rehabilitation PC's NPI number?

The NPI number for Northsport Physical Therapy & Rehabilitation PC is 1003253170. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Northsport Physical Therapy & Rehabilitation PC located?

Northsport Physical Therapy & Rehabilitation PC is located at 1968 E Miller Rd, Fairview, MI 48621. The listed phone number is (989) 848-2525.

What is Northsport Physical Therapy & Rehabilitation PC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Northsport Physical Therapy & Rehabilitation PC enrolled in Medicare?

Yes. Northsport Physical Therapy & Rehabilitation PC is registered in the Medicare PECOS enrollment system.

When is Northsport Physical Therapy & Rehabilitation PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northsport Physical Therapy & Rehabilitation PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Northsport Physical Therapy & Rehabilitation PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northsport Physical Therapy & Rehabilitation PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Northsport Physical Therapy & Rehabilitation PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northsport Physical Therapy & Rehabilitation PC was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.