Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gerald Lee Philo Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1962087262

Gerald Lee Philo Jr., PTA is a Physical Therapy Assistant in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5500 Auto Club Dr Ste 150
Dearborn, MI 48126-2779
Phone: (313) 982-8266
Fax: (313) 982-8098
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000079 (MI)

Record details

NPI number1962087262
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 17, 2021
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address5500 Auto Club Dr Ste 150, Dearborn, MI 48126-2779

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