Patient Centered Family Medicine & Omt

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATIENT CENTERED FAMILY MEDICINE & OMT

Doing business as

Patient Centered Family Medicine & OMT, PLLC

Practice address

9960 Village Place Blvd
Brighton, MI 48116-2089

Phone

(248) 869-6500

Fax

(248) 869-6509

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Renea Andersonning, DONPI 1114239670

Title

Sole Owner

Phone

(248) 924-4884

Specialties & licenses 2

Addresses

Other names 1

• Patient Centered Family Medicine & OMT, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa R Andersonning, D.O.

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1114239670

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1487349510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55275 8 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679158",
            "telephone_number": "248-924-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 VILLAGE PLACE BLVD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162089",
            "telephone_number": "248-869-6500",
            "fax_number": "248-869-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8273 Grand River Avenue",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149497",
            "country_code": "US",
            "telephone_number": "248-869-6500",
            "fax_number": "248-869-6509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATIENT CENTERED FAMILY MEDICINE & OMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSONNING",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "248-924-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Centered Family Medicine & OMT, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neesha Bhavesh Patel-Peters, MD
• Darshan Babubhai Patel
• Navinchandra Fulabhai Patel, R.PH
• Nikita Manish Patel, MD
• Vishruti Patel
• David Parker Patterson, M.D.
• Michael Allen Paulson, D.O.
• Jadyn Michelle Pawlak
• Rebecca Pawlik, M.D.
• Peak Physical Therapy Clinic LLC

• Family Medicine Physician in Brighton, MI
• Providers in Brighton, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.