Individual provider Active NPI

Derek Brady, PT

  • Physical Therapist
  • Clarkston, MI
National Provider Identifier
1417413246
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019081 Issued in MI
Practice address
32 S Main St
Clarkston, MI 48346-1526
Phone
(248) 922-9001
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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 5501019081 MI Primary

Addresses

Primary practice location

32 S Main St
Clarkston, MI 48346-1526

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190228001216 MI Practitioner - Physical Therapist in Private Practice 2860731304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HQ of Farmington Hills LLCGroup PAC ID 4981055506, 8 clinicians

Practice addresses (Care Compare)

24415 Halsted Rd
Farmington Hills, MI 48335-1669
Phone (248) 602-0006

Merit-based Incentive Payment System (MIPS)

Final score
84.16 of 100Reported as group
Quality
92.16
Improvement activities
40
Cost
61.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019081MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Physical Therapy and Wellness Center of Clarkston LLC Physical Therapist CurrentSince Feb 15, 2019 Accepting new patients
HQ of Farmington Hills LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Healthquest Physical Therapy and Wellness Center LLC Physical Therapist PastSince Feb 15, 2019 Accepting new patients

Locations

32 S Main St
Clarkston, MI 48346
Phone (248) 922-9001

24415 Halsted Rd
Farmington Hills, MI 48335
Phone (248) 602-0006

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

Organizations & group practices 3

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": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1417413246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461526",
            "telephone_number": "248-922-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "DEREK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.