Marissa Theresa Ozog, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501021607 Issued in MI

Practice address

133 W Main St Ste 120
Northville, MI 48167-1548

Phone

(248) 347-1168

Fax

(248) 347-1252

NPI assigned

Nov 14, 2022

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  MI

  Medicare reassignment Care Compare group NPD
• Ryan and Monica Wohlfert, PC

  • Chiropractor
  • Lansing, MI
  • NPI 1952478125
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1215645684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610",
            "telephone_number": "248-347-1168",
            "fax_number": "248-347-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 120",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671548",
            "telephone_number": "248-347-1168",
            "fax_number": "248-347-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Grand River Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438200",
            "country_code": "US",
            "telephone_number": "800-974-4378 x2003",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZOG",
        "first_name": "MARISSA",
        "middle_name": "THERESA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501021607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oralscan 3D
• Derek Shahan Ornekian, DPT
• Juno Ottathengil
• Sarah Lynn Otten, NP-C
• Aderike Oyenuga, PT
• Karlee Jo Paglia, LMSW
• Rakesh Reddy Paladugu
• Laura Ann Palazzo, D.C.
• Juliann Pallikizhakethil
• Rebekah Ann Palmer, RN, BCABA

• Physical Therapist in Northville, MI
• Providers in Northville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.