Pryde Physical Therapy PLLC
NPI 1912503830 · Physical Therapist · Canton, MI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pryde Physical Therapy PLLC is a Physical Therapist organization in Canton, MI (NPI 1912503830).
Provider details
- NPI number
- 1912503830
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Pryde Athletics LLC
- Organization subpart
- Yes
- Authorized official
- Jon Jeffrey, Owner(734) 476-5189
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Other names (DBA / former)
- Doing business as
- Pryde Physical Therapy
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Frequently asked questions
- What is Pryde Physical Therapy PLLC's NPI number?
- Pryde Physical Therapy PLLC's National Provider Identifier (NPI) is 1912503830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pryde Physical Therapy PLLC?
- Pryde Physical Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pryde Physical Therapy PLLC located?
- Pryde Physical Therapy PLLC's practice location on file with NPPES is 5536 Research Dr, Canton, MI 48188-2261.
- What is Pryde Physical Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pryde Physical Therapy PLLC is (734) 895-1901.
- Does Pryde Physical Therapy PLLC accept Medicare?
- Pryde Physical Therapy 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 Pryde Physical Therapy PLLC?
- The authorized official listed on Pryde Physical Therapy PLLC's NPPES record is Jon Jeffrey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pryde Physical Therapy PLLC's NPI active?
- Yes — Pryde Physical Therapy PLLC's NPI (1912503830) is active in the NPPES registry as of the last update on 2021-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.