NPIMap

Organization Active NPI

Cranbrook Physical Therapy, PLLC

  • Physical Therapist
  • Bloomfield Hills, MI
National Provider Identifier
1699168336
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CRANBROOK PHYSICAL THERAPY, PLLC
Practice address
60 W Big Beaver Rd
Suite 125
Bloomfield Hills, MI 48304-3909
Phone
(248) 309-8900
Fax
(248) 550-0147
NPI assigned
Mar 5, 2015
Last updated
Mar 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Mrs. Anne Tafelski, P.T.
Title
Member
Phone
(248) 309-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

60 W Big Beaver Rd
Suite 125
Bloomfield Hills, MI 48304-3909

Mailing address

60 W Big Beaver Rd
Suite 125
Bloomfield Hills, MI 48304-3909
Phone (248) 309-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507002079 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820317183 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

60 W Big Beaver Rd
Ste 125
Bloomfld Hls, MI 48304
Phone (248) 309-8900

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1699168336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD",
            "address_2": "SUITE 125",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043909",
            "telephone_number": "248-309-8900",
            "fax_number": "248-550-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD",
            "address_2": "SUITE 125",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043909",
            "telephone_number": "248-309-8900",
            "fax_number": "248-550-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBROOK PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "TAFELSKI",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-309-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.