Active NPI
Brant Cassidy
- Physical Therapist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302419
- Practice address
- 18161 W 13 Mile Rd Ste A1
Southfield, MI 48076-1113 - Phone
- (248) 633-2640
- Fax
- (248) 633-2643
- NPI assigned
- Feb 10, 2023
- Last updated
- Feb 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501302419 | MI | Primary |
Addresses
Primary practice location
18161 W 13 Mile Rd Ste A1
Southfield, MI 48076-1113
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
18161 W 13 Mile Rd
Ste A1
Southfield, MI 48076
Phone (248) 633-2640
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Organizations & group practices 4
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.
-
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- Bloomfield Hills, MI
- NPI 1548932619
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1609573542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18161 W 13 MILE RD STE A1",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480761113",
"telephone_number": "248-633-2640",
"fax_number": "248-633-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "BRANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.