Individual provider Active NPI

Charles Emmett Zepp, DPT

  • Physical Therapist
  • Milford, MI
National Provider Identifier
1194252569
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501020051 Issued in MI
Practice address
525 N Main St Ste 120
Milford, MI 48381-1592
Phone
(248) 329-3700
Fax
(248) 329-3881
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 5501020051 MI
Physical Therapist 225100000X 5501020051 MI Primary

Addresses

Primary practice location

525 N Main St Ste 120
Milford, MI 48381-1592

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

3600 Stelzer Rd
Columbus, OH 43219-3675
Phone (614) 827-1300

Other identifiers 1

IdentifierTypeStateIssuer
016839OtherOHOHIO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince May 12, 2023 Accepting new patients
TFL Provider Network LLC Sports CurrentSince Jan 11, 2024 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince May 12, 2023 Accepting new patients
Fitnesstx, PLLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients

Locations

3996 Red Cedar Dr
Unit A6
Highlands Ranch, CO 80126
Phone (303) 800-2829

18700 Plaza Dr
Parker, CO 80134
Phone (303) 805-9375

19201 E Mainstreet
Ste 205
Parker, CO 80134
Phone (303) 489-7893

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

14261 Torrey Rd
Ste C
Fenton, MI 48430
Phone (810) 354-5380

525 N Main St
Ste 120
Milford, MI 48381
Phone (248) 329-3700

Organizations & group practices 4

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1194252569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST STE 120",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811592",
            "telephone_number": "248-329-3700",
            "fax_number": "248-329-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Stelzer Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432193675",
            "country_code": "US",
            "telephone_number": "614-827-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEPP",
        "first_name": "CHARLES",
        "middle_name": "EMMETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MI",
            "license": "5501020051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "016839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.