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

Michael Dubois

Individual provider Physical Therapist · NPI 1720479595

Michael Dubois is a Physical Therapist in Private Practice in Moline, Illinois. Qualified in 2014, 12 years ago. Practices with Dhhs Phs IHS Phoenix Area, a 24-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
12
Licensed in
AL
In the registry since
2015
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Practice location Address checks out

3402 79th St
Moline, IL 61265-8061
Phone: (251) 709-0010
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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 PTH7479 (AL)

Record details

NPI number1720479595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2015
Last updated in NPPESFebruary 13, 2015
Mailing address3402 79th St, Moline, IL 61265-8061

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dhhs Phs Ihs Phoenix Area — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moline