Natasja Yolanda-Lucilla Brattinga

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004438 Issued in MI

Practice address

5225 Highland Rd
Waterford, MI 48327-1916

Phone

(248) 673-6980

NPI assigned

May 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinic for Functional Physical Therapy IncGroup PAC ID 0749260230, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinic for Functional Physical Therapy Inc.

  • Physical Therapist
  • Waterford, MI
  • NPI 1134170327
  Medicare reassignment Care Compare group NPD
• Functional Physical Therapy of Ohio Inc

  • Physical Therapist
  • Oberlin, OH
  • NPI 1982894523
  NPD (past)

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1700232279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WHISPERING KNOLL LN",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064177",
            "telephone_number": "248-935-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271916",
            "telephone_number": "248-673-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTINGA",
        "first_name": "NATASJA",
        "middle_name": "YOLANDA-LUCILLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marwan Boulis, MD
• Bow Tie Orthodontics
• Julie Tricia Bowles, RN
• Timothy Kristofer Bradner, PHARM.D.
• Eric Brattinga, PT
• Tatyana Brayman, DDS
• Ray Alvin Breitenbach, M.D.
• Kenneth Briggs
• Bright Pine, Inc.
• Bright Start Home Wellness Inc

• Physical Therapist in Waterford, MI
• Providers in Waterford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.

Verify at the official NPI Registry.