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

Madison Love Mirabitur I

Individual provider Physical Therapist · NPI 1154939106

Madison Love Mirabitur I is a Physical Therapist in Private Practice in Oak Park, Michigan. Qualified in 2024, 2 years ago. Practices with Life Skills Village PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297
Phone: (248) 788-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2775 E Lansing Dr, East Lansing, MI 48823-7755 — (517) 332-1616

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303543 (MI)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1154939106
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Life Skills Village Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Park