Derek Shahan Ornekian, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013573 Issued in MI

Practice address

215 E. Main Street Suite B
Northville, MI 48167-1681

Phone

(248) 349-9339

Fax

(248) 349-9342

NPI assigned

Sep 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northville Physical Rehabilitation PCGroup PAC ID 5193611101, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northville Physical Rehabilitation, P.C.

  • Physical Therapist
  • Northville, MI
  • NPI 1982770673
  Medicare reassignment Care Compare group NPD
• Dearborn Physical Therapy LTD.

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1285676692

  Physical Therapist

  NPD (past)
• Dearborn Physical Therapy LTD.

  • Physical Therapist
  • Waterford, MI
  • NPI 1316622806
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1518152131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E. MAIN STREET SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671681",
            "telephone_number": "248-349-9339",
            "fax_number": "248-349-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E. MAIN STREET SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671681",
            "telephone_number": "248-349-9339",
            "fax_number": "248-349-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNEKIAN",
        "first_name": "DEREK",
        "middle_name": "SHAHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vineeta Ohri, PT
• Venkata Ojili
• Nneoma Okorafor
• Audrey D. Oleski, OTRL
• Oralscan 3D
• Juno Ottathengil
• Sarah Lynn Otten, NP-C
• Aderike Oyenuga, PT
• Marissa Theresa Ozog, PT, DPT
• Karlee Jo Paglia, LMSW

• Physical Therapist in Northville, MI
• Providers in Northville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.