MICHIGAN NEUROLOGY ASSOCIATES OPT
NPI 1265625222
Clinic/Center - Physical Therapy in Saint Clair Shores, MI

Active since August 23, 2007CLIA Certified · 2 labs
19699 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 445-9900 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michigan Neurology Associates Opt NPPES

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

MICHIGAN NEUROLOGY ASSOCIATES OPT (NPI 1265625222) is a healthcare organization registered as a physical therapy in Saint Clair Shores, Michigan and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates and lists Diane Freck, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265625222
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameMICHIGAN NEUROLOGY ASSOCIATES OPT
Location Address19699 E 8 MILE RDSaint Clair Shores, MI 48080-1655
Mailing Address19699 E 8 Mile RdSaint Clair Shores, MI 48080-1655
Organization SubpartNo
Authorized OfficialDiane FreckOffice Manager · (586) 445-9900
Enumeration DateAugust 23, 2007
NPI 1265625222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in MI · TG008581
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
19699 E 8 MILE RD, Saint Clair Shores, MI 48080

Other Identifiers 1

Other30858MI · Facility

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2028042

Michigan Neurology Associates PC · Saint Clair Shores, MI
Active · expires Aug 7, 2027
CLIA Number23D2028042
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorThomas Giancario
Laboratory Phone(586) 445-9900
Laboratory LocationMichigan Neurology Associates PC19699 E Eight Mile, Saint Clair Shores, MI 48080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 23D1066390

Michigan Neurology Associates PC · Clinton Township, MI
Active · expires May 5, 2027
CLIA Number23D1066390
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorDr. Thomas Giancarlo
Laboratory Phone(586) 445-9900
Laboratory LocationMichigan Neurology Associates PC34025 Harper Avenue, Clinton Township, MI 48035
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080
Dietitian, Registered
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080
Psychiatry & Neurology (Diagnostic Neuroimaging)
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080
Clinical Neuropsychologist
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080
Physician Assistant
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080
Psychiatry & Neurology (Neurology)
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080
Durable Medical Equipment & Medical Supplies
19699 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080

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 Michigan Neurology Associates Opt's NPI number?

The NPI number for Michigan Neurology Associates Opt is 1265625222. It was assigned to this organization in the NPPES registry on August 23, 2007.

Where is Michigan Neurology Associates Opt located?

Michigan Neurology Associates Opt is located at 19699 E 8 Mile Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 445-9900.

What is Michigan Neurology Associates Opt's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Michigan Neurology Associates Opt hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Michigan Neurology Associates Opt was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.