GOLD COAST PHYSIO, LLC
NPI 1487598512
Physical Therapist in Walled Lake, MI

Active since April 17, 2026
100 DECKER RD, WALLED LAKE, MI 48390(248) 896-1400 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gold Coast Physio, Llc NPPES

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

GOLD COAST PHYSIO, LLC (NPI 1487598512) is a healthcare organization registered as a physical therapist in Walled Lake, Michigan and active in the NPI registry since April 2026. The organization maintains a secondary practice location in Brighton and lists Narmean Pedawi, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1487598512
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameGOLD COAST PHYSIO, LLC
Location Address100 DECKER RDWalled Lake, MI 48390-3625
Mailing Address631 Anhinga DrEast Lansing, MI 48823-8364 · (248) 918-8300
Organization SubpartNo
Authorized OfficialNarmean PedawiOwner/manager · (248) 918-8300
Enumeration DateApril 17, 2026
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1487598512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
100 DECKER RD, Walled Lake, MI 48390

Secondary Practice Location 1

Location 11320 Rickett RdBrighton, MI 48116-1833 · Phone (810) 247-8442

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gold Coast Physio, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Gold Coast Physio, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1598784712
47715 ADRIANA CT
Canton, MI 48187
(734) 578-8278
✔ Accepts Medicare14 mi
Occupational Therapist in Private Practice
NPI 1437950102
24123 WHEATGRASS GROVE LN
Katy, TX 77493
(248) 918-8300
✔ Accepts Medicare1,109 mi
Physical Therapist in Private Practice
NPI 1700580529
3928 S MEAD ST
Seattle, WA 98118
(708) 253-3873
1,911 mi

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 Gold Coast Physio, LLC's NPI number?

The NPI number for Gold Coast Physio, LLC is 1487598512. It was assigned to this organization in the NPPES registry on April 17, 2026.

Where is Gold Coast Physio, LLC located?

Gold Coast Physio, LLC is located at 100 Decker Rd, Walled Lake, MI 48390. The listed phone number is (248) 896-1400.

What is Gold Coast Physio, LLC's specialty?

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

Is Gold Coast Physio, LLC enrolled in Medicare?

Yes. Gold Coast Physio, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gold Coast Physio, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gold Coast Physio, LLC, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. 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 Gold Coast Physio, LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Gold Coast Physio, 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 Gold Coast Physio, LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.