DELAWARE PROFESSIONAL THERAPY PLLC
NPI 1124496591
Social Worker in Hazel Park, MI
About Delaware Professional Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELAWARE PROFESSIONAL THERAPY PLLC (NPI 1124496591) is a healthcare organization registered as a social worker in Hazel Park, Michigan and active in the NPI registry since September 2015. The organization lists John Boyd Krisel, Owner, 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)
Delaware Professional Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Delaware Professional Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Grosse Pointe Park, MI 48230
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 Delaware Professional Therapy PLLC's NPI number?
The NPI number for Delaware Professional Therapy PLLC is 1124496591. It was assigned to this organization in the NPPES registry on September 2, 2015.
Where is Delaware Professional Therapy PLLC located?
Delaware Professional Therapy PLLC is located at 116 W 8 Mile Rd Ste B, Hazel Park, MI 48030. The listed phone number is (313) 421-8366.
What is Delaware Professional Therapy PLLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Delaware Professional Therapy PLLC enrolled in Medicare?
Yes. Delaware Professional Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delaware Professional Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Delaware Professional Therapy PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Delaware Professional Therapy PLLC accept?
Health plans from Blue Care Network of Michigan list Delaware Professional Therapy PLLC 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 Delaware Professional Therapy PLLC was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Delaware Professional Therapy Pllc · NPI 1124496591
Social Worker organization in Hazel Park, Michigan. Organization record, active in the CMS NPPES registry since September 2, 2015.
## Identity
- **NPI:** 1124496591 (Entity type: Organization)
- **Enumerated:** September 2, 2015
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** John Krisel, OWNER
## Practice location
- **Address:** 116 W 8 MILE RD STE B, Hazel Park, MI 48030-2433
- **Phone:** (313) 421-8366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1124496591) · Data from the CMS NPPES public registry.