MEDICARE: PROBILITY THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	235Z00000X	Speech-Language Pathologist	MI
2	225X00000X	Occupational Therapist	MI
3	225100000X	Physical Therapist	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD5598	OTHER	MI	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1164458543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROBILITY THERAPY SERVICES

Provider Business Mailing Address
First Line	:	3075 W CLARK RD STE 200
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1103
Country	:	US
Telephone Number	:	734-528-9760
Fax Number	:	734-829-0173

Provider Business Practice Location Address
First Line	:	3145 W CLARK RD STE 102
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1120
Country	:	US
Telephone Number	:	734-712-7702
Fax Number	:	734-528-9761

Authorized Official
Title or Position	:	HR DIRECTOR
Name	:	SHANNA KILPATRICK
Credential	:
Telephone Number	:	989-666-0535

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	05/27/2026

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Directions to “PROBILITY THERAPY SERVICES ” Practice Location

Language	Start Address	Practice Location

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