Individual provider Active NPI

Craig James Obrock, DPT

  • Physical Therapist
  • Howell, MI
National Provider Identifier
1396261137
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019210 Issued in MI
Practice address
4379 E Grand River Ave Ste 12
Howell, MI 48843-6583
Phone
(517) 586-0008
NPI assigned
Aug 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5501019210 MI Primary

Addresses

Primary practice location

4379 E Grand River Ave Ste 12
Howell, MI 48843-6583

Mailing address

20100 State Route 199
Bowling Green, OH 43402-9103
Phone (419) 409-0626

Other practice location 1

20100 State Route 199
Bowling Green, OH 43402-9103
Phone (419) 409-0626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190912002202 MI Practitioner - Physical Therapist in Private Practice 8426387663 Reassigns benefits to 2 organizations
I20201014000339 OH Practitioner - Physical Therapist in Private Practice 8426387663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Toledo Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Link LLCGroup PAC ID 4587805940, 27 clinicians

Practice addresses (Care Compare)

1038 N Monroe St
Monroe, MI 48162-3113
Phone (419) 559-5591

3333 Sterns Rd
Lambertville, MI 48144-9738
Phone (419) 559-5591

3337 W Sterns Rd
Lambertville, MI 48144-9738
Phone (419) 559-5591

9866 Olde US
20 Suite 107 a
Rossford, OH 43460-1716
Phone 41955955915000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Pain Services, PLL CurrentSince Dec 1, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Aug 21, 2019 Accepting new patients
Toledo Pain Services, PLL CurrentSince Dec 1, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Aug 21, 2019 Accepting new patients
PT Link LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients
Hallett Enterprises, LLC Physical Therapist PastSince Oct 1, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3203 N Adrian Hwy
Adrian, MI 49221

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

4379 E Grand River Ave
Ste 12
Howell, MI 48843
Phone (517) 545-6333

3333 Sterns Rd
Lambertville, MI 48144
Phone (734) 568-6917

902 Industrial Dr
Tecumseh, MI 49286
Phone (517) 423-7722

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

1823 W State St
Fremont, OH 43420
Phone (419) 334-7737

846 S Coy Rd
Ste 100
Oregon, OH 43616

1090 W South Boundary St
Ste 600
Perrysburg, OH 43551
Phone (419) 873-8280

9866 Olde US 20
Ste 107A
Rossford, OH 43460
Phone 41955955915000

1515 W Laskey Rd
Toledo, OH 43612

1722 W Laskey Rd
Ste A
Toledo, OH 43613
Phone 4195595591 ext. 1000

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347

4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818

5150 N Summit St
Toledo, OH 43611

5151 Monroe St
Ste 104
Toledo, OH 43623

Organizations & group practices 6

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396261137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 STATE ROUTE 199",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029103",
            "telephone_number": "419-409-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 E GRAND RIVER AVE STE 12",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436583",
            "telephone_number": "517-586-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20100 State Route 199",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434029103",
            "country_code": "US",
            "telephone_number": "419-409-0626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBROCK",
        "first_name": "CRAIG",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.