Individual provider Active NPI

Jonathan Vu, PTA

  • Physical Therapy Assistant
  • Commerce Township, MI
National Provider Identifier
1497668669
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502008384 Issued in MI
Practice address
100 Decker Rd
Commerce Township, MI 48390-3625
Phone
(248) 896-1400
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502008384 MI Primary

Addresses

Primary practice location

100 Decker Rd
Commerce Township, MI 48390-3625

Mailing address

23739 Stonehenge Blvd
Novi, MI 48375-3778
Phone (313) 247-9196

Other practice location 1

7300 Village Center Dr
Whitmore Lake, MI 48189-7112
Phone (810) 534-7774

Other practice location 2

1320 Rickett Rd
Brighton, MI 48116-1833
Phone (810) 247-8442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1497668669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23739 STONEHENGE BLVD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753778",
            "telephone_number": "313-247-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DECKER RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903625",
            "telephone_number": "248-896-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Village Center Dr",
            "address_purpose": "LOCATION",
            "city": "Whitmore Lake",
            "state": "MI",
            "postal_code": "481897112",
            "country_code": "US",
            "telephone_number": "810-534-7774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Rickett Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481161833",
            "country_code": "US",
            "telephone_number": "810-247-8442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "JONATHAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.