Individual provider Active NPI

Jeffrey Sam Orow, PT

  • Orthopedic Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1073608907
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501012820 Issued in MI
Practice address
6621 W Maple Rd
West Bloomfield, MI 48322-3004
Phone
(248) 862-6407
Fax
(248) 757-2309
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501012820 MI Primary

Addresses

Primary practice location

6621 W Maple Rd
West Bloomfield, MI 48322-3004

Mailing address

8910 Clubwood Dr
Walled Lake, MI 48390-1752
Phone (248) 227-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210002315 MI Practitioner - Physical Therapist in Private Practice 7113271800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parc Rehabilitation, LLCGroup PAC ID 4082012984, 15 clinicians
Prevent Rehabilitation PLLCGroup PAC ID 6305190091, 2 clinicians

Practice addresses (Care Compare)

3145 Lily TRL
Rochester, MI 48306-3476
Phone (248) 759-8500

6621 W Maple Rd
West Bloomfield, MI 48322-3004
Phone (248) 862-6407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501012820MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parc Hospice, LLC Current Accepting new patients
Prevent Rehabilitation PLLC CurrentSince Sep 1, 2018 Accepting new patients
Step Up Physical Therapy LLC CurrentSince May 25, 2021 Accepting new patients
Parc Hospice, LLC Current Accepting new patients

Locations

31690 W 12 Mile Rd
Ste 102
Farmington Hills, MI 48334

15750 Northline Rd
Ste B
Southgate, MI 48195
Phone (734) 357-0505

6621 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 661-4700

33060 Northwestern Hwy
Ste 210
West Bloomfield, MI 48322
Phone (248) 328-2939

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parc Home CareWest Bloomfield, MI, CCN 239272 Home health agency 5% Or Greater Direct Ownership Interest (33%)
Corporate Director (100%)
Dec 13, 2018
Dec 13, 2018
Parc Hospice LLCWest Bloomfield, MI, CCN 231715 Hospice 5% Or Greater Direct Ownership Interest (33.33%)
Corporate Director
Aug 9, 2022
Aug 9, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1073608907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 CLUBWOOD DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483901752",
            "telephone_number": "248-227-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223004",
            "telephone_number": "248-862-6407",
            "fax_number": "248-757-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROW",
        "first_name": "JEFFREY",
        "middle_name": "SAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501012820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.