Active NPI
Brad Richard Oppat, PT
- Physical Therapist
- W Bloomfield, MI
National Provider Identifier
1316920812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006622
- Practice address
- 6343 Farmington Rd
W Bloomfield, MI 48322-2206 - Phone
- (482) 227-9812
- NPI assigned
- Nov 29, 2005
- Last updated
- Aug 18, 2020
- 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 | 5501006622 | MI | Primary |
Addresses
Primary practice location
6343 Farmington Rd
W Bloomfield, MI 48322-2206
Mailing address
28634 Lincolnview Dr
Farmington Hills, MI 48334-5250
Phone (248) 227-9812
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6343 Farmington Rd
Studioe
West Bloomfield, MI 48322-2206
Phone (248) 626-0212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006622 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Club Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Medical X-Ray Consultants, LTD | Past | Accepting new patients |
Locations
6343 Farmington Rd
West Bloomfield, MI 48322
Phone (248) 227-9812
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.
-
- Physical Therapist
- W Bloomfield, MI
- NPI 1679185094
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1316920812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28634 LINCOLNVIEW DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345250",
"telephone_number": "248-227-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6343 FARMINGTON RD",
"city": "W BLOOMFIELD",
"state": "MI",
"postal_code": "483222206",
"telephone_number": "482-227-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPAT",
"first_name": "BRAD",
"middle_name": "RICHARD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in W Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.