Brain & Body Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BRAIN & BODY PHYSICAL THERAPY LLC

Practice address

65 S Squirrel Rd
Auburn Hills, MI 48326-3252

Phone

(248) 266-5637

NPI assigned

Mar 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Vezina, DPTNPI 1114315256

Title

Owner/Physical Therapist

Phone

(313) 806-7834

Specialties & licenses 1

Addresses

Other names 1

• Brain & Body Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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

• Katherine Vezina

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1114315256
  Medicare reassignment NPD Authorized official
• Cierra M Koslowski, DPT

  • Physical Therapist
  • Orion, MI
  • NPI 1417348970
  Medicare reassignment NPD
• Nicolette Diane Fey, PT, DPT

  • Physical Therapist
  • Madison Heights, MI
  • NPI 1154139921
  NPD
• Alexandra Marie Patterson Tichy, PT, DPT, SCS

  • Physical Therapist
  • Troy, MI
  • NPI 1477054401
  NPD
• Julie Khuong, DPT

  • Physical Therapist
  • Brownstown Township, MI
  • NPI 1932539954
  NPD (past)

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1255089934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263252",
            "telephone_number": "248-266-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263252",
            "telephone_number": "248-266-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30475 Stephenson Hwy",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711615",
            "country_code": "US",
            "telephone_number": "313-806-7834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN & BODY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "VEZINA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "313-806-7834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain & Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brain & Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Michael Boruta, MD
• Bosman Chiropractic Life Center, P.C.
• Jeffrey J. Bosman, D.C.
• Tyeshia Bowers
• Alyssa Ann Bremner Bradford
• Quania Dominique Branch, LLMSW
• Sheree Brandow, LLMSW
• Amy Braun
• Hannah Brendle
• April Bridges

• Physical Therapist in Auburn Hills, MI
• Providers in Auburn Hills, 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 15, 2023; 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.