Clint Verran

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010788 Issued in MI

Practice address

8409 Hall Rd
Utica, MI 48317-5532

Phone

(586) 323-8039

Fax

(586) 323-8041

NPI assigned

Mar 13, 2007

Last updated

Dec 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Wayne State University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clint Verran Sports Medicine, IncGroup PAC ID 2264471895, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clint Verran Sports Medicine, Inc

  • Physical Therapist
  • Lake Orion, MI
  • NPI 1013033604
  Medicare reassignment Care Compare group Authorized official
• KKS of Michigan LLC

  dba Healthquest Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Orion, MI
  • NPI 1225233273
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1336272020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 HALL RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175532",
            "telephone_number": "586-323-8039",
            "fax_number": "586-323-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 HALL RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175532",
            "telephone_number": "586-323-8039",
            "fax_number": "586-323-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRAN",
        "first_name": "CLINT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utica Chiropractic Clinic of Michigan, PC
• Utica Chiropractic Clinic, P.C.
• Utica Physical Therapy Inc
• Utica Shelby Urgent Care PC
• Kamala J Vanaharam, MD
• Lyubov Voyevidko, NP
• Vpa PC
• Dorothy Vukmirovich, M.S.
• Adrienne Walker
• Wallace Wellness Therapy & Performance LLC

• Physical Therapist in Utica, MI
• Providers in Utica, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.