IVYREHAB MICHIGAN, LLC
NPI 1104337120
Physical Medicine & Rehabilitation - Sports Medicine in Fenton, MI
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivyrehab Michigan, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
339Medicare enrollment records show 339 clinicians reassign Medicare billing to Ivyrehab Michigan, LLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 339Source: 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 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.
Is Ivyrehab Michigan, LLC enrolled in Medicare?
Yes. Ivyrehab Michigan, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ivyrehab Michigan, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 339 clinicians in 3 Medicare specialties reassign their Medicare billing to Ivyrehab Michigan, LLC. 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. The largest specialties are Physical Therapist in Private Practice (250), Occupational Therapist in Private Practice (45) and Qualified Speech Language Pathologist (44). Of these, 13 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 2 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 13 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.
# Ivyrehab Michigan, Llc · NPI 1104337120
Sports Medicine organization in Fenton, Michigan. Organization record, active in the CMS NPPES registry since October 17, 2017.
## Identity
- **NPI:** 1104337120 (Entity type: Organization)
- **Enumerated:** October 17, 2017
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **Organization subpart:** No
- **Authorized official:** Ashley Griffiths, SR. DIRECTOR OF PROVIDER RELATIONS
## Practice location
- **Address:** 400 ROUNDS DR, Fenton, MI 48430-1724
- **Phone:** (810) 750-1996 · **Fax:** (810) 750-6361
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 339 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (250), Occupational Therapist in Private Practice (45), Qualified Speech Language Pathologist (44); 13 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1104337120/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104337120) · Data from the CMS NPPES public registry.