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

Michael Banoub, PT, PHD

Individual provider Physical Therapist · NPI 1740647858

Michael Banoub, PT, PHD is a Physical Therapist in Private Practice in Rochester, Michigan. Qualified in 2015, 11 years ago. Practices with Marina Rehabilitation and Health Services Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1050 W University Dr SUITE3
Rochester, MI 48307-1877
Phone: (248) 650-1984
Fax: (248) 650-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501017184 (MI)

Record details

NPI number1740647858
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , PHD
Sole proprietorNo
NPI enumeratedJanuary 20, 2016
Last updated in NPPESJanuary 20, 2016
Mailing address1050 W University Dr, Suite3, Rochester, MI 48307-1877

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Marina Rehabilitation And Health Services Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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