Great Lakes Medical Specialists PLLC
NPI 1245587633 · Physical Medicine & Rehabilitation Physician · Grosse Pointe, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Medical Specialists PLLC is a Physical Medicine & Rehabilitation Physician organization in Grosse Pointe, MI (NPI 1245587633).
Provider details
- NPI number
- 1245587633
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theresa Oney, Ceo(517) 980-2826
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2016-02-04
Frequently asked questions
- What is Great Lakes Medical Specialists PLLC's NPI number?
- Great Lakes Medical Specialists PLLC's National Provider Identifier (NPI) is 1245587633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Medical Specialists PLLC?
- Great Lakes Medical Specialists PLLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Medical Specialists PLLC located?
- Great Lakes Medical Specialists PLLC's practice location on file with NPPES is 20870 Mack Avenue, Grosse Pointe, MI 48236.
- What is Great Lakes Medical Specialists PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Medical Specialists PLLC is (517) 980-2826.
- Does Great Lakes Medical Specialists PLLC accept Medicare?
- Great Lakes Medical Specialists PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Medical Specialists PLLC?
- The authorized official listed on Great Lakes Medical Specialists PLLC's NPPES record is Theresa Oney, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Medical Specialists PLLC's NPI active?
- Yes — Great Lakes Medical Specialists PLLC's NPI (1245587633) is active in the NPPES registry as of the last update on 2016-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.