Organization Active NPI

Total Orthopedic Performance Physical Therapy, LLC

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1194231563
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012017 Issued in MI
Legal business name
TOTAL ORTHOPEDIC PERFORMANCE PHYSICAL THERAPY, LLC
Practice address
3522 15 Mile Road
Sterling Heights, MI 48310
Phone
(586) 883-9720
Fax
(586) 883-9653
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Mr. Ross Pearson Walker, DPT, OMPTNPI 1942216007
Title
PT/ Owner
Phone
(248) 250-4833

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501012017 MI Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 5501012017 MI

Addresses

Primary practice location

3522 15 Mile Road
Sterling Heights, MI 48310

Mailing address

3522 15 Mile Road
Sterling Heights, MI 48310
Phone (586) 883-9720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180102001005 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436417128 Receives reassigned benefits from 6 practitioners
Practice locations: Mount Pleasant, MI; Southfield, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

1625 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 772-2541

27207 Lahser Rd
Ste 106
Southfield, MI 48034
Phone (248) 801-9355

3522 15 Mile Rd
Sterling Hts, MI 48310
Phone (586) 883-9720

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1194231563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 15 MILE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-883-9720",
            "fax_number": "586-883-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 15 MILE ROAD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-883-9720",
            "fax_number": "586-883-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ORTHOPEDIC PERFORMANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "PEARSON",
        "authorized_official_title_or_position": "PT/ OWNER",
        "authorized_official_telephone_number": "248-250-4833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT, OMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012017",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501012017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.