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

Russell Shane Gregory, DPT

Individual provider Physical Therapist · NPI 1437897667

Russell Shane Gregory, DPT is a Physical Therapist in Private Practice in Saint Clair Shores, Michigan. Graduated from University of Tennessee, Hsc, College of Medicine in 2022, 4 years ago. Practices with Peak Performance Solutions LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
MI
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207
Phone: (586) 779-7970
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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 5501301924 (MI)

Record details

NPI number1437897667
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Peak Performance Solutions Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Clair Shores