Marissa J Ogboh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019049 Issued in MI

Practice address

21550 Harrington St Ste D
Clinton TWP, MI 48036-2362

Phone

(586) 783-7590

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Oakland College of Medicine and Surgery, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KSS of Shelby LLCGroup PAC ID 9335218619, 23 clinicians

CKS of Mt Clemens LLCGroup PAC ID 0446321038, 17 clinicians

VMS of Macomb TWP LLCGroup PAC ID 7012072952, 22 clinicians

HQ of Ferndale East LLCGroup PAC ID 7517459712, 4 clinicians

1St Choice Physical Therapy Troy LLCGroup PAC ID 7911088604, 7 clinicians

Healthquest Physical Therapy and Wellness Center of Clarkston LLCGroup PAC ID 5698949022, 17 clinicians

HQ of Bloomfield TWP LLCGroup PAC ID 1153857206, 7 clinicians

HQ of Oxford LLCGroup PAC ID 4688627656, 23 clinicians

KRS of Clawson LLCGroup PAC ID 2163527276, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.73 of 100Reported as group

Quality

81.02

Improvement activities

40

Cost

53.9

Merit-based Incentive Payment System (MIPS)

Final score

75.18 of 100Reported as group

Quality

74.03

Improvement activities

40

Cost

64.88

Merit-based Incentive Payment System (MIPS)

Final score

84.16 of 100Reported as group

Quality

92.16

Improvement activities

40

Cost

61.58

Merit-based Incentive Payment System (MIPS)

Final score

75.44 of 100Reported as group

Quality

76.08

Improvement activities

40

Cost

61.99

Merit-based Incentive Payment System (MIPS)

Final score

70.77 of 100Reported as group

Quality

66.1

Improvement activities

40

Cost

64.7

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 28)

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.

• 1St Choice Physical Therapy Troy, LLC

  • Physical Therapist
  • Troy, MI
  • NPI 1962690149

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• CKS of Mt Clemens LLC

  • Physical Therapy Clinic/Center
  • Mount Clemens, MI
  • NPI 1619172673

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Healthquest Physical Therapy and Wellness Center of Clarkston LLC

  • Physical Therapy Clinic/Center
  • Clarkston, MI
  • NPI 1326328402

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• HQ of Bloomfield TWP LLC

  • Physical Therapy Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1124853841

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• HQ of Ferndale East LLC

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1881485936

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• HQ of Oxford LLC

  • Physical Therapy Clinic/Center
  • Oxford, MI
  • NPI 1730384694

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• KRS of Clawson LLC

  • Physical Therapy Clinic/Center
  • Clawson, MI
  • NPI 1194840223

  MI

  Medicare reassignment Care Compare group NPD
• KSS of Shelby LLC

  • Physical Therapy Clinic/Center
  • Shelby Township, MI
  • NPI 1770788739

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• VMS of Macomb TWP LLC

  • Physical Therapy Clinic/Center
  • Macomb, MI
  • NPI 1750527438

  MI

  Medicare reassignment Care Compare group NPD
• 1St Choice Physical Therapy, LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1598771818

  MI, Physical Therapist

  Medicare reassignment NPD
• Aks of Romeo LLC

  • Physical Therapy Clinic/Center
  • Romeo, MI
  • NPI 1538365945

  MI, Physical Therapist

  Medicare reassignment NPD
• Healthquest Physical Therapy and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1336344068

  MI, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1174097356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 HARRINGTON ST STE D",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362362",
            "telephone_number": "586-783-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBOH",
        "first_name": "MARISSA",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Surgical Specialists, PC
• Northstar Wellness Group
• Nye Dental of Clinton PLLC
• Elizabeth Catherine Oberly-Ball, PA-C
• Eric W Ochs, DDS
• Nancy Oliveras
• Optometry, P.C.
• Jennifer Nicole Orellana
• Kathleen M Orr, PT
• Shannon Nicole Kaye Ortiz, ATC

• All providers in Clinton TWP, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.