Orthoprime Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ORTHOPRIME PHYSICAL THERAPY, LLC

Practice address

17916 Farmington Rd
Livonia, MI 48152-3104

Phone

(734) 855-4046

Fax

(734) 469-4572

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Hetal U VyasNPI 1689925307

Title

Ceo, PT

Phone

(248) 678-7021

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Hetal U Vyas, PT

  • Physical Therapist
  • Livonia, MI
  • NPI 1689925307
  Medicare reassignment NPD Authorized official
• Upen Dhirendrabhai Vyas

  • Physical Therapist
  • Livonia, MI
  • NPI 1740594340
  Medicare reassignment NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1689427049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17916 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-855-4046",
            "fax_number": "734-469-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17916 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-855-4046",
            "fax_number": "734-469-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRIME PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "HETAL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "CEO, PT",
        "authorized_official_telephone_number": "248-678-7021"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orchard Lake Psychology LLC
• Rachel Orchard
• Thomas W Orr, CCP
• Orthopedic Institute of Michigan PLLC
• Orthopedic Institute of Michigan PLLC
• Janelle Ortiz
• Destiny Osborne
• Kathleen Jane Osborne, LMSW
• Lori Osborne, PTA
• Michael E Osborne, CCP

• Physical Therapist in Livonia, MI
• Providers in Livonia, 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 13, 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.