Organization Active NPI

Place of Healing Physical Therapy LLC

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1275240483
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PLACE OF HEALING PHYSICAL THERAPY LLC
Practice address
43191 Dalcoma Dr Ste 105
Clinton Township, MI 48038-6308
Phone
(248) 495-0605
NPI assigned
Oct 28, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Mrs. Mary Jane Ogoy-Ferrer, PTNPI 1336434331
Title
Owner
Phone
(248) 495-0605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

43191 Dalcoma Dr Ste 105
Clinton Township, MI 48038-6308

Mailing address

4807 Bruner Dr
Sterling Heights, MI 48310-2604
Phone (248) 495-0605

Other names 1

  • Place of Healing Physical Therapy LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221201002698 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789052333 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton Township, MI

National Provider Directory

National Provider Directory

Locations

43191 Dalcoma Dr
Ste 105
Clinton Twp, MI 48038
Phone (224) 587-8126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1275240483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 BRUNER DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102604",
            "telephone_number": "248-495-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43191 DALCOMA DR STE 105",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386308",
            "telephone_number": "248-495-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACE OF HEALING PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "OGOY-FERRER",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-495-0605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Place of Healing Physical Therapy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.