Active NPI
Joseph Patino, PT
- Physical Therapist
- Howell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017947
- Practice address
- 4379 E Grand River Ave
Howell, MI 48843-6583 - Phone
- (517) 586-0008
- Fax
- (517) 586-0025
- NPI assigned
- Nov 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017947 | MI | Primary |
Addresses
Primary practice location
4379 E Grand River Ave
Howell, MI 48843-6583
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15201 N Holly Rd B
Ati Physical Therapy
Holly, MI 48442-1194
Phone (248) 531-0002
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017947 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
7164 N Main St
Clarkston, MI 48346
Phone (248) 625-6400
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
202 E Van Riper Rd
Ste 200
Fowlerville, MI 48836
Phone (517) 223-2100
10860 Highland Rd
Hartland, MI 48353
Phone (810) 632-1000
15201 N Holly Rd
Ste B
Holly, MI 48442
Phone (248) 531-0002
4379 E Grand River Ave
Ste 12
Howell, MI 48843
Phone (517) 545-6333
1501 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 676-0666
5159 Highland Rd
Waterford, MI 48327
Phone (248) 674-9560
Interoperability endpoints
- joseph.patino.p4@direct.athleticoltd.nextgenshare.com
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 and National Provider Directory roles.
-
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1265974091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4379 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488436583",
"telephone_number": "517-586-0008",
"fax_number": "517-586-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO",
"first_name": "JOSEPH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.