PRYDE PHYSICAL THERAPY PLLC
NPI 1912503830
Physical Therapist in Canton, MI
About Pryde Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRYDE PHYSICAL THERAPY PLLC (NPI 1912503830), doing business as Pryde Physical Therapy, is a healthcare organization registered as a physical therapist in Canton, Michigan and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Northville and lists Ivan Ankwatsa, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Secondary Practice Location 1
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)
Pryde Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Pryde Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 Pryde Physical Therapy PLLC's NPI number?
The NPI number for Pryde Physical Therapy PLLC is 1912503830. It was assigned to this organization in the NPPES registry on December 7, 2020. The provider is doing business as Pryde Physical therapy.
Where is Pryde Physical Therapy PLLC located?
Pryde Physical Therapy PLLC is located at 5536 Research Dr, Canton, MI 48188. The listed phone number is (734) 895-1901.
What is Pryde Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Pryde Physical Therapy PLLC enrolled in Medicare?
Yes. Pryde Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pryde Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Pryde Physical 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. The largest specialties are Physical Therapist in Private Practice (6) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pryde Physical Therapy PLLC accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Pryde Physical 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 Pryde Physical Therapy PLLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Pryde Physical Therapy Pllc · NPI 1912503830
Physical Therapist organization in Canton, Michigan. Organization record, active in the CMS NPPES registry since December 7, 2020.
## Identity
- **NPI:** 1912503830 (Entity type: Organization)
- **Enumerated:** December 7, 2020
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Also known as:** Pryde Physical therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ivan Ankwatsa, OWNER
## Practice location
- **Address:** 5536 RESEARCH DR, Canton, MI 48188-2261
- **Phone:** (734) 895-1901
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (6), Occupational Therapist in Private Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912503830) · Data from the CMS NPPES public registry.