Active NPI
Craig James Obrock, DPT
- Physical Therapist
- Howell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019210
- 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, 2022
- 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 | 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, OH
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Pain Services, PLL | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Toledo Pain Services, PLL | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| PT Link LLC | Physical Therapist | Current | Accepting new patients |
| Hallett Enterprises, LLC | Physical Therapist | Past | 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.
-
dba ATI Physical Therapy
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
dba Comprehensive Centers for Pain Management
- Interventional Pain Medicine Physician
- Toledo, OH
- NPI 1356339857
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
-
- Certified Registered Nurse Anesthetist
- Oregon, OH
- NPI 1427703024
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.