HOLISTIC THERAPY INSTITUTE PHYSICAL THERAPY, INC.
NPI 1538624960
Physical Therapist in Madison Hts, MI

Active since February 11, 2019
30201 DEQUIDRE RD SUITE1, MADISON HTS, MI 48071(248) 439-1333(248) 439-1336 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2019, Feb 11, 2019 (2 updates tracked since 2019).

About Holistic Therapy Institute Physical Therapy, Inc. NPPES

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

HOLISTIC THERAPY INSTITUTE PHYSICAL THERAPY, INC. (NPI 1538624960) is a healthcare organization registered as a physical therapist in Madison Hts, Michigan and active in the NPI registry since February 2019. The organization lists Yvette Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1538624960
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameHOLISTIC THERAPY INSTITUTE PHYSICAL THERAPY, INC.
Location Address30201 DEQUIDRE RD SUITE1Madison Hts, MI 48071
Mailing Address30201 Dequidre Rd Suite1Madison Hts, MI 48071 · (248) 439-1333 · Fax (248) 439-1336
Fax(248) 439-1336
Organization SubpartNo
Authorized OfficialYvette JacksonOwner · (248) 439-1333
Enumeration DateFebruary 11, 2019
Last NPPES UpdateJuly 11, 20192 updates tracked since enumeration
✔ NPI 1538624960 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
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.
30201 DEQUIDRE RD SUITE1, Madison Hts, MI 48071

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Holistic Therapy Institute Physical Therapy, Inc. 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 Holistic Therapy Institute Physical Therapy, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1801086590
2449 E 12 MILE RD
Warren, MI 48092
(586) 755-4711
✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1134311657
26091 SHERWOOD AVE SUITE 114
Warren, MI 48091
(586) 755-4711
✔ Accepts Medicare3.2 mi
Physical Therapist in Private Practice
NPI 1568874121
8896 COMMERCE RD STE 1
Commerce Township, MI 48382
(248) 363-2115
20 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 Holistic Therapy Institute Physical Therapy, Inc.'s NPI number?

The NPI number for Holistic Therapy Institute Physical Therapy, Inc. is 1538624960. It was assigned to this organization in the NPPES registry on February 11, 2019.

Where is Holistic Therapy Institute Physical Therapy, Inc. located?

Holistic Therapy Institute Physical Therapy, Inc. is located at 30201 Dequidre Rd Suite1, Madison Hts, MI 48071. The listed phone number is (248) 439-1333.

What is Holistic Therapy Institute Physical Therapy, Inc.'s specialty?

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

Is Holistic Therapy Institute Physical Therapy, Inc. enrolled in Medicare?

Yes. Holistic Therapy Institute Physical Therapy, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Therapy Institute Physical Therapy, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Holistic Therapy Institute Physical Therapy, Inc.. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Holistic Therapy Institute Physical Therapy, Inc. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holistic Therapy Institute Physical Therapy, Inc. 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 Holistic Therapy Institute Physical Therapy, Inc. was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.