Ivyrehab Northern PT, LLC
NPI 1972592525 · Physical Therapy Clinic/Center · Sparta, MI
Enrolled with Medicare as Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivyrehab Northern PT, LLC is a Physical Therapy Clinic/Center organization in Sparta, MI (NPI 1972592525).
Provider details
- NPI number
- 1972592525
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Rucker, Ceo(914) 777-8700
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
20 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)
- Former legal business name
- Northern Physical Therapy Services
Registry dates
- Enumerated
- 2005-10-17
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Ivyrehab Northern PT, LLC's NPI number?
- Ivyrehab Northern PT, LLC's National Provider Identifier (NPI) is 1972592525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivyrehab Northern PT, LLC?
- Ivyrehab Northern PT, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ivyrehab Northern PT, LLC located?
- Ivyrehab Northern PT, LLC's practice location on file with NPPES is 31 Ida Red Ave, Sparta, MI 49345-1277.
- What is Ivyrehab Northern PT, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ivyrehab Northern PT, LLC is (616) 887-8152.
- Does Ivyrehab Northern PT, LLC accept Medicare?
- Ivyrehab Northern PT, LLC 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 Ivyrehab Northern PT, LLC?
- The authorized official listed on Ivyrehab Northern PT, LLC's NPPES record is Michael Rucker, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivyrehab Northern PT, LLC's NPI active?
- Yes — Ivyrehab Northern PT, LLC's NPI (1972592525) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.