Individual provider Active NPI

Dillon Ommodt, DPT

  • Physical Therapist
  • Jackson, MI
National Provider Identifier
1043858160
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019436 Issued in MI
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

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200128000617 MI Practitioner - Physical Therapist in Private Practice 8628403300 Reassigns benefits to 2 organizations

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
Eaton Rapids Medical CenterGroup PAC ID 5991692634, 34 clinicians

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 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Eaton Rapids Medical Center CurrentSince Oct 22, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 24, 2024 Accepting new patients
Eaton Rapids Medical Center Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince May 24, 2024 Accepting new patients
Eaton Rapids Medical Center CurrentSince Oct 22, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.