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

Mr. Charles Michael Roll, PT

Individual provider Physical Therapist · NPI 1770756629

Mr. Charles Michael Roll, PT is a Physical Therapist in Private Practice in Bloomfield, Michigan. Graduated from Wayne State University School of Medicine in 1991, 35 years ago. Practices with Neil King Physical Therapy, PC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
35
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

36800 Woodward Ave Ste 210
Bloomfield, MI 48304-0917
Phone: (248) 543-3566
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28514 Dequindre Rd, Warren, MI 48092-5606 — (248) 658-1231

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501004903 (MI)

Record details

NPI number1770756629
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Neil King Physical Therapy, Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bloomfield