Form & Focus- Rehab & Wellness, PLLC
NPI 1417634296 · Physical Therapy Clinic/Center · Saint Clair Shores, MI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Form & Focus- Rehab & Wellness, PLLC is a Physical Therapy Clinic/Center organization in Saint Clair Shores, MI (NPI 1417634296).
Provider details
- NPI number
- 1417634296
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katherine Andary, Physical Therapist(586) 443-6176
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-07-03
- Last updated
- 2023-07-17
- Certified
- 2023-07-17
Frequently asked questions
- What is Form & Focus- Rehab & Wellness, PLLC's NPI number?
- Form & Focus- Rehab & Wellness, PLLC's National Provider Identifier (NPI) is 1417634296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form & Focus- Rehab & Wellness, PLLC?
- Form & Focus- Rehab & Wellness, PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Form & Focus- Rehab & Wellness, PLLC located?
- Form & Focus- Rehab & Wellness, PLLC's practice location on file with NPPES is 22576 Visnaw St, Saint Clair Shores, MI 48081-2641.
- What is Form & Focus- Rehab & Wellness, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Form & Focus- Rehab & Wellness, PLLC is (586) 443-6176.
- Does Form & Focus- Rehab & Wellness, PLLC accept Medicare?
- Form & Focus- Rehab & Wellness, 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 Form & Focus- Rehab & Wellness, PLLC?
- The authorized official listed on Form & Focus- Rehab & Wellness, PLLC's NPPES record is Katherine Andary, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form & Focus- Rehab & Wellness, PLLC's NPI active?
- Yes — Form & Focus- Rehab & Wellness, PLLC's NPI (1417634296) is active in the NPPES registry as of the last update on 2023-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.