Individual provider Active NPI

Brandon Thorson, PT, DPT

  • Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1437817301
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501021526 Issued in MI
Practice address
1613 S Huron St
Ypsilanti, MI 48197-9701
Phone
(734) 483-9200
NPI assigned
Dec 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 5501021526 MI Primary

Addresses

Primary practice location

1613 S Huron St
Ypsilanti, MI 48197-9701

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000577 MI Practitioner - Physical Therapist in Private Practice 5799176376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1613 S Huron St
Ati Physical Therapy
Ypsilanti, MI 48197-9701
Phone (734) 483-9200

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

3500 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (734) 794-9915

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

2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313

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

2810 Baker Rd
#101
Dexter, MI 48130
Phone (734) 424-9710

7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406

11650 Belleville Rd
Ste 102
Van Buren Township, MI 48111
Phone (734) 325-2443

23309 Allen Rd
Woodhaven, MI 48183
Phone (734) 561-0070

1613 S Huron St
Ypsilanti, MI 48197
Phone (734) 483-9200

Organizations & group practices 2

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1437817301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 S HURON ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979701",
            "telephone_number": "734-483-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "BRANDON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501021526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.