RUSSELL SHANE GREGORY DPT
NPI 1437897667
Physical Therapist in Saint Clair Shores, MI

Active since May 26, 2022Accepts Medicare Assignment
93.88/100
CMS Quality Rating
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080(586) 779-7970 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, May 26, 2022 (2 updates tracked since 2022).

About Russell Shane Gregory Dpt NPPES

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

RUSSELL SHANE GREGORY DPT (NPI 1437897667) is an individual physical therapist in Saint Clair Shores, Michigan, licensed in Michigan (5501301924) and active in the NPI registry since May 2022. He is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).

NPPES Registry Identity

NPI1437897667
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRUSSELL SHANE GREGORYCredential: DPT
Location Address24715 LITTLE MACK AVE STE 100Saint Clair Shores, MI 48080-3207
Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258 · (586) 350-2644
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2022
Enumeration DateMay 26, 2022
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
NPI 1437897667 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
License Licensed in MI · 5501301924
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

24715 LITTLE MACK AVE STE 100, Saint Clair Shores, MI 48080

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Russell Shane Gregory Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163801820
PECOS Enrollment IDI20220627001671

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
97 services16 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
92 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.88
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Physical Therapist
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Specialist/Technologist (Athletic Trainer)
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Physical Therapist
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Physical Therapist
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Clinic/Center (Urgent Care)
24715 LITTLE MACK AVE STE 100
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 Russell Gregory's NPI number?

The NPI number for Russell Gregory is 1437897667. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Russell Gregory located?

Russell Gregory practices at 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 779-7970.

What is Russell Gregory's specialty?

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

Is Russell Gregory enrolled in Medicare?

Yes. Russell Gregory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Russell Gregory was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.