Individual provider Active NPI

Brad Richard Oppat, PT

  • Physical Therapist
  • W Bloomfield, MI
National Provider Identifier
1316920812
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006622 Issued in MI
Practice address
6343 Farmington Rd
W Bloomfield, MI 48322-2206
Phone
(482) 227-9812
NPI assigned
Nov 29, 2005
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 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

Enrollment IDStateProvider typePAC IDDetails
I20080806000164 MI Practitioner - Physical Therapist in Private Practice 4082611546 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5501006622MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Club Physical Therapy PLLC Physical Therapist CurrentSince Sep 15, 2020 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.

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.

Verify at the official NPI Registry.