NPIMap

Organization Active NPI

Hamtramck Orthopedic Physical Therapy, Inc.

Doing business as Optimal Rehab & Wellness

  • Physical Therapy Clinic/Center
  • Davison, MI
National Provider Identifier
1124027966
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HAMTRAMCK ORTHOPEDIC PHYSICAL THERAPY, INC.
Doing business as
Optimal Rehab & Wellness
Practice address
9171 Lapeer Rd Ste 400
Davison, MI 48423-1849
Phone
(810) 653-0100
Fax
(810) 653-0133
NPI assigned
Jul 14, 2005
Last updated
Feb 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Authorized official

Name
Mr. Branden McDowell, DPTNPI 1063625929
Title
Ceo / Administrator
Phone
(810) 653-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MI Primary

Addresses

Primary practice location

9171 Lapeer Rd Ste 400
Davison, MI 48423-1849

Mailing address

9171 Lapeer Rd Ste 400
Davison, MI 48423-1849
Phone (810) 653-0100

Other identifiers 2

IdentifierTypeStateIssuer
30001OtherMIBCBSM
650H257390OtherMIBCBSM - INDEPENDENT

Other names 1

  • Optimal Rehab & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090309000463 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6901962414 Practice locations: Davison, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124027966. Details of each certification follow.

  • CCN 236756 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236756

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OPTIMAL REHAB & WELLNESS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 22, 1998
Last certification
Apr 23, 2025
Ownership / control type
Proprietary
Facility address
9171 Lapeer Rd Ste 400
Davison, MI 48423

National Provider Directory

National Provider Directory

Locations

9100 Lapeer Rd
Davison, MI 48423
Phone (810) 653-0100

9171 Lapeer Rd
Ste 400
Davison, MI 48423
Phone (810) 653-0100

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1124027966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9171 LAPEER RD STE 400",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231849",
            "telephone_number": "810-653-0100",
            "fax_number": "810-653-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9171 LAPEER RD STE 400",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231849",
            "telephone_number": "810-653-0100",
            "fax_number": "810-653-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK ORTHOPEDIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "CEO / ADMINISTRATOR",
        "authorized_official_telephone_number": "810-653-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - INDEPENDENT",
            "identifier": "650H257390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Rehab & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.