Bo Jay Vechazone, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010050 Issued in MI

Practice address

1749 Haggerty Rd
Commerce Township, MI 48390-2857

Phone

(248) 987-8947

Fax

(248) 653-6695

NPI assigned

Nov 28, 2006

Last updated

Aug 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bernard Jay Vechazone Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bo.vechazone.p4@direct.athleticoltd.nextgenshare.com

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.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  MI

  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Commerce Township, MI
  • NPI 1003563263

  Physical Therapist

  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1366518839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HAGGERTY RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483902857",
            "telephone_number": "248-987-8947",
            "fax_number": "248-653-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECHAZONE",
        "first_name": "BO",
        "middle_name": "JAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNARD",
            "last_name": "VECHAZONE",
            "middle_name": "JAY",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jodi Lynn Van Proeyen
• Amanda Song Hee Vandenbusch, MA, LLPC
• Cassandra Vann, PHARMD
• Megan Vansickle
• Cassaundra Vaughn, LPC
• Deborah Sue Vendittelli, NP
• Mike Venia, CRNA
• VHS Huron Valley-Sinai Hospital Inc
• VHS Huron Valley-Sinai Hospital Inc (Huron Valley-Sinai Hospital)
• VHS-Huron Valley Hospital

• Physical Therapist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.