Individual provider Active NPI

Hannah Ford, PT, DPT

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1053904516
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019920 Issued in MI
Practice address
29255 Northwestern Hwy Ste 300
Southfield, MI 48034-5742
Phone
(248) 353-1234
Fax
(248) 353-1211
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 5501019920 MI Primary

Addresses

Primary practice location

29255 Northwestern Hwy Ste 300
Southfield, MI 48034-5742

Mailing address

2318 Coolidge Hwy Apt 202
Troy, MI 48084-3629
Phone (586) 453-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002322 MI Practitioner - Physical Therapist in Private Practice 4981011020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ompt Specialists IncGroup PAC ID 7012920416, 32 clinicians

Practice addresses (Care Compare)

1071 N Campbell Rd
Royal Oak, MI 48067-1519
Phone (248) 353-1234

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019920MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ompt Specialists, Inc. Physical Therapist CurrentSince Mar 8, 2021 Accepting new patients
Auto & Work Comp Rehab LLC PastSince Feb 21, 2021 Accepting new patients

Locations

1071 N Campbell Rd
Royal Oak, MI 48067

29255 Northwestern Hwy
Ste 110
Southfield, MI 48034

29255 Northwestern Hwy
Ste 300
Southfield, MI 48034
Phone (248) 343-1234

4600 Investment Dr
Ste 190
Troy, MI 48098
Phone (242) 353-1234

1080 Kirts Blvd
Ste 300
Troy, MI 48084

Organizations & group practices 2

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1053904516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 COOLIDGE HWY APT 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843629",
            "telephone_number": "586-453-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345742",
            "telephone_number": "248-353-1234",
            "fax_number": "248-353-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "HANNAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.