Individual provider Active NPI

Brittany Teal, DPT

  • Orthopedic Physical Therapist
  • Troy, MI
National Provider Identifier
1295360170
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501019448 Issued in MI
Practice address
1845 Livernois Rd
Troy, MI 48083-1731
Phone
(248) 362-2150
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501019448 MI Primary

Addresses

Primary practice location

1845 Livernois Rd
Troy, MI 48083-1731

Mailing address

8981 Folkert Rd
Clay, MI 48001-3705
Phone (586) 530-5982

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326001628 MI Practitioner - Physical Therapist in Private Practice 9133558158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ompt Specialists IncGroup PAC ID 7012920416, 32 clinicians

Practice addresses (Care Compare)

14901 23 Mile Rd
Suite C
Shelby Township, MI 48315-3009
Phone (248) 353-1234

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019448MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ompt Specialists, Inc. Orthopedic CurrentSince Jul 27, 2020 Accepting new patients

Locations

14901 23 Mile Rd
Ste C
Shelby Township, MI 48315

4600 Investment Dr
Ste 190
Troy, MI 48098
Phone (242) 353-1234

1080 Kirts Blvd
Ste 300
Troy, MI 48084

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1295360170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8981 FOLKERT RD",
            "city": "CLAY",
            "state": "MI",
            "postal_code": "480013705",
            "telephone_number": "586-530-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831731",
            "telephone_number": "248-362-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "BRITTANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501019448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.