Active NPI
Dillon Ommodt, DPT
- Physical Therapist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019436
- Practice address
- 2973 Springport Rd
Jackson, MI 49201-9060 - Phone
- (517) 435-3461
- Fax
- (517) 768-9951
- NPI assigned
- Dec 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019436 | MI | Primary |
Addresses
Primary practice location
2973 Springport Rd
Jackson, MI 49201-9060
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Main St
Eaton Rapids, MI 48827-1952
Phone (517) 663-2671
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Eaton Rapids Medical Center | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141
16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867
2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
5688 N Telegraph Rd
Dearborn Hts, MI 48127
Phone (313) 565-9357
1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671
2973 Springport Rd
Jackson, MI 49201
Phone (517) 435-3461
956 Cooper St
Jackson, MI 49202
Phone (517) 787-3900
Interoperability endpoints
- dillon.ommodt.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Springport Medical Clinic
- Rural Health Clinic/Center
- Eaton Rapids, MI
- NPI 1588810709
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
-
dba Michigan Joint Replacement Institute
- Physician Assistant
- Jackson, MI
- NPI 1316719859
-
- Critical Access Hospital
- Eaton Rapids, MI
- NPI 1417044660
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1043858160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-1980",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2973 SPRINGPORT RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019060",
"telephone_number": "517-435-3461",
"fax_number": "517-768-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMMODT",
"first_name": "DILLON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-19",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.