Individual provider Active NPI

Courtney Briskey, PT, DPT

  • Physical Therapist
  • Bloomfield, MI
National Provider Identifier
1255724431
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017111 Issued in MI
Practice address
10 W Square Lake Rd Ste 110
Bloomfield, MI 48302-0466
Phone
(248) 335-6263
Fax
(248) 332-2404
NPI assigned
Mar 11, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017111 MI Primary

Addresses

Primary practice location

10 W Square Lake Rd Ste 110
Bloomfield, MI 48302-0466

Mailing address

10 W Square Lake Rd Ste 110
Bloomfield Hills, MI 48302-0466
Phone (248) 335-6263

Other practice location 1

17418 Birch Tree Ln
Macomb, MI 48044-1688
Phone (586) 226-0666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505002079 MI Practitioner - Physical Therapist in Private Practice 0244559748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians

Practice addresses (Care Compare)

43344 Woodward Ave
Bloomfield Hills, MI 48302-5014
Phone (248) 335-9099

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
73.34
Promoting interoperability
64
Improvement activities
40
Cost
52.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Rehabilitation Medicine PC CurrentSince Mar 25, 2015 Accepting new patients
Specialists in Rehabilitation Medicine PC Past Accepting new patients

Locations

10 W Square Lake Rd
Ste 110
Bloomfield Hills, MI 48302
Phone (248) 335-6263

43344 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 335-9099

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

Interoperability endpoints

  • Direct secure messaging: cbriskey@sirmp-mi.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255724431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 110",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-335-6263",
            "fax_number": "248-332-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 110",
            "city": "BLOOMFIELD",
            "state": "MI",
            "postal_code": "483020466",
            "telephone_number": "248-335-6263",
            "fax_number": "248-332-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17418 Birch Tree Ln",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480441688",
            "country_code": "US",
            "telephone_number": "586-226-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISKEY",
        "first_name": "COURTNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.