Individual provider Active NPI

Bradley Michael Schalk, DPT

  • Physical Therapist
  • Traverse City, MI
National Provider Identifier
1487252284
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019767 Issued in MI
Practice address
1110 Hammond Rd E Unit 5
Traverse City, MI 49686-9368
Phone
(231) 995-5210
Fax
(231) 995-5213
NPI assigned
Oct 14, 2020
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 5501019767 MI Primary

Addresses

Primary practice location

1110 Hammond Rd E Unit 5
Traverse City, MI 49686-9368

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

2380 Cedar St Ste 203
Holt, MI 48842-2211
Phone (517) 709-4677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201000612 MI Practitioner - Physical Therapist in Private Practice 0749691566 Reassigns benefits to 2 organizations

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)

1110 E Hammond Dr
5 Ati Physical Therapy
Traverse City, MI 49686-9368
Phone (231) 995-5210

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

State licenses

LicenseStateTypeSpecialty
5501019767MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehabilitation Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jun 5, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

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

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

2380 Cedar St
Ste 203
Holt, MI 48842
Phone (517) 709-4677

3315 E Michigan Ave
Ste 6
Lansing, MI 48912
Phone (517) 709-4677

1110 E Hammond Rd
Unit 5
Traverse City, MI 49686
Phone (231) 995-5210

5246 N Royal Dr
Ste B
Traverse City, MI 49684
Phone (231) 486-0552

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1487252284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HAMMOND RD E UNIT 5",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869368",
            "telephone_number": "231-995-5210",
            "fax_number": "231-995-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Cedar St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488422211",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHALK",
        "first_name": "BRADLEY",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.