Sports Club Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS CLUB PHYSICAL THERAPY PLLC

Practice address

6343 Farmington Rd
W Bloomfield, MI 48322-2206

Phone

(248) 227-9812

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Brad OppatNPI 1316920812

Title

Owner

Phone

(248) 227-9812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Brad Richard Oppat, PT

  • Physical Therapist
  • W Bloomfield, MI
  • NPI 1316920812
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1679185094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28634 LINCOLNVIEW DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345250",
            "telephone_number": "248-227-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 FARMINGTON RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222206",
            "telephone_number": "248-227-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS CLUB PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "OPPAT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-227-9812"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Sekulich, MSW
• George N Seligman, DDS
• Charu B Shah, MA-LBSW, CAC-M
• Marla Shiffman, CSW
• Laurel Anne Sills, PSY.D.
• Michael Andrew Stiger, COTA
• Susan D Charlamb M D P C
• Synapse Neurodiagnostics
• Top Doctor Medical Group
• Salpi Toroyan, DDS

• Physical Therapist in W Bloomfield, MI
• Providers in W Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.