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IVYREHAB MICHIGAN, LLC
NPI 1104337120
Physical Medicine & Rehabilitation - Sports Medicine in Fenton, MI

Active since October 17, 2017
400 ROUNDS DR, FENTON, MI 48430(810) 750-1996(810) 750-6361 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Sep 10, 2025, Aug 12, 2022 and 1 more (4 updates tracked since 2017).

About Ivyrehab Michigan, Llc NPPES

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

IVYREHAB MICHIGAN, LLC (NPI 1104337120) is a healthcare organization registered as a sports medicine in Fenton, Michigan and active in the NPI registry since October 2017. The organization lists Ashley Griffiths, Sr. Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1104337120
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameIVYREHAB MICHIGAN, LLC
Location Address400 ROUNDS DRFenton, MI 48430-1724
Mailing Address1311 Mamaroneck Ave Ste 140White Plains, NY 10605-5224
Phone(810) 750-1996
Fax(810) 750-6361
Organization SubpartNo
Authorized OfficialAshley GriffithsSr. Director Of Provider Relations · (914) 294-4050
Enumeration DateOctober 17, 2017
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1104337120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
400 ROUNDS DR, Fenton, MI 48430
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAILLE GUERIN PT, DPT
Physical Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 629-0530
MICHAEL TREYSMAN
Physical Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 750-6361
ALYCIA SCHLOSSER DPT
Physical Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 750-1996
BRIANNA RAE BYRD OT
Occupational Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 629-0530
MICHAEL S. O'HARA, P.C.
Physical Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 750-1996
KYLE DAVID KOWALCZYK DPT
Physical Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 750-1996
SARAH MARIE BRUBAKER OT
Occupational Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 629-0530
MARIA HUGHES PT
Physical Therapist
400 ROUNDS DR
FENTON, MI 48430
Genesee County (810) 714-1996

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 Ivyrehab Michigan, LLC's NPI number?

The NPI number for Ivyrehab Michigan, LLC is 1104337120. It was assigned to this organization in the NPPES registry on October 17, 2017.

Where is Ivyrehab Michigan, LLC located?

Ivyrehab Michigan, LLC is located at 400 Rounds Dr, Fenton, MI 48430. The listed phone number is (810) 750-1996.

What is Ivyrehab Michigan, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

What insurance does Ivyrehab Michigan, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Ivyrehab Michigan, LLC 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 Ivyrehab Michigan, LLC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.