Organization Active NPI

Orthopaedic Rehab Specialists, PC

  • Physical Therapist
  • Jackson, MI
National Provider Identifier
1619956646
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPAEDIC REHAB SPECIALISTS, PC
Practice address
214 N West Ave Ste B
Jackson, MI 49201-1903
Phone
(517) 783-6670
Fax
(517) 783-5310
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mr. Brandon Klump, PTNPI 1851436521
Title
Coo, Co-Owner, PT
Phone
(517) 783-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

214 N West Ave Ste B
Jackson, MI 49201-1903

Mailing address

3073 Shirley Dr
Jackson, MI 49201-7010
Phone (517) 990-6211

Other identifiers 3

IdentifierTypeStateIssuer
0C809901OtherBCBS MI OT
1619956646MedicaidMI
0C81036OtherMIBCBS MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060321000338 MI Part B Supplier - Clinic/Group Practice 9133136864 Receives reassigned benefits from 30 practitioners
Practice locations: Holt, MI; Okemos, MI; Napoleon, MI; Leslie, MI; Lansing, MI; Jonesville, MI; Jackson, MI; Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

3921 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 665-1626

2040 Aurelius Rd
Ste 5
Holt, MI 48842
Phone (517) 268-9040

2136 Robinson Rd
Jackson, MI 49203
Phone (517) 750-2180

113 S East Ave
Jackson, MI 49201
Phone (517) 990-6210

3073 Shirley Dr
Jackson, MI 49201

206 Page Ave
Jackson, MI 49201
Phone (517) 783-6670

2797 Spring Arbor Rd
Ste B
Jackson, MI 49203
Phone (517) 962-4437

2136 Robinson Rd
Ste 1
Jackson, MI 49203
Phone (517) 750-2540

214 N West Ave
Ste B
Jackson, MI 49201
Phone (517) 783-6670

865 Olds St
Ste D4
Jonesville, MI 49250
Phone (517) 849-7040

865 Olds St
#D4
Jonesville, MI 49250
Phone (517) 849-7040

480 Olds St
Jonesville, MI 49250
Phone (517) 849-7040

8741 W Saginaw Hwy
Ste D
Lansing, MI 48917
Phone (517) 925-8825

3108 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 268-9040

3401 Patient Care Dr
Ste 102
Lansing, MI 48911
Phone (877) 202-2175

828 W Bellevue St
Leslie, MI 49251
Phone (517) 878-6180

5100 Marsh Rd
Ste G
Okemos, MI 48864
Phone (517) 220-4540

Practitioners & affiliated clinicians

Practitioners 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1619956646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017010",
            "telephone_number": "517-990-6211",
            "fax_number": "517-990-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N WEST AVE STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011903",
            "telephone_number": "517-783-6670",
            "fax_number": "517-783-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC REHAB SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "KLUMP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "COO, CO-OWNER, PT",
        "authorized_official_telephone_number": "517-783-6670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI OT",
            "identifier": "0C809901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619956646",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0C81036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.