Individual provider Active NPI

Courtney Brune, DPT

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1427429547
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017409 Issued in MI
Practice address
32255 Northwestern Hwy Ste 155a
Farmington Hills, MI 48334
Phone
(248) 479-6330
Fax
(248) 479-6331
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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 5501017409 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 155a
Farmington Hills, MI 48334

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other names 1

  • Courtney Maximiuk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103001388 MI Practitioner - Physical Therapist in Private Practice 5597075572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Rehabilitation and Physical Therapy, PCGroup PAC ID 1951659499, 3 clinicians

Practice addresses (Care Compare)

32255 Northwestern Hwy
Suite 155a
Farmington Hills, MI 48334-1566
Phone (248) 479-6330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017409MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Oct 8, 2015 Accepting new patients
Millennium Rehabilitation and Physical Therapy, PC Physical Therapist CurrentSince Jul 31, 2018 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Oct 8, 2015 Accepting new patients
Michigan Healthcare Professionals PC PastSince Jul 31, 2018 Accepting new patients

Locations

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

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

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

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

32255 Northwestern Hwy
Ste 155A
Farmington Hills, MI 48334
Phone (248) 479-6330

44200 Woodward Ave
Ste 114
Pontiac, MI 48341
Phone (248) 409-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1427429547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 155A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-479-6330",
            "fax_number": "248-479-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNE",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MAXIMIUK",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.