Functional Physical Therapy of Clarkston

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTIONAL PHYSICAL THERAPY OF CLARKSTON

Practice address

7736 Ortonville Rd Ste C
Clarkston, MI 48348-4483

Phone

(248) 620-1415

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kornelis Oosthek, PT

Title

Director

Phone

(248) 620-1415

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Brattinga, PT

  • Physical Therapist
  • Waterford, MI
  • NPI 1851343347
  NPD (past)
• Kornelis Oosthoek, PT

  • Physical Therapist
  • Canton, MI
  • NPI 1770671299
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417079187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 PONTIAC LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281261",
            "telephone_number": "248-673-6980",
            "fax_number": "248-673-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 ORTONVILLE RD STE C",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484483",
            "telephone_number": "248-620-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PHYSICAL THERAPY OF CLARKSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OOSTHEK",
        "authorized_official_first_name": "KORNELIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-620-1415",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlin Harold French, D.O.
• Katherine Zwack French, DO
• Mark Edward Frenchi, DDS MS PC
• Yvette Frownfelter, M.D.
• Cindy Kay Fulton
• Danielle Fusco, PA-C
• Noelle Rene Gailey, DDS
• Linda Ann Gallaher, M.A., LPC, LLP, NCC
• Lynnette Gallant, MS, LLP
• Sonam Gandhi, PT

• Physical Therapist in Clarkston, MI
• Providers in Clarkston, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.