Organization Active NPI

Orthopaedic Team Rehabilitation LLC

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1740677236
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPAEDIC TEAM REHABILITATION LLC
Practice address
28001 Schoenherr Rd Ste 6
Warren, MI 48088-4396
Phone
(586) 999-8330
Fax
(586) 999-8331
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Jacqueline A Ciotti
Title
Business Manager
Phone
(586) 999-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

28001 Schoenherr Rd Ste 6
Warren, MI 48088-4396

Mailing address

28001 Schoenherr Rd Ste 6
Warren, MI 48088-4396
Phone (586) 999-8330

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Warren Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150604000416 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789905605 Receives reassigned benefits from 4 practitioners
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Locations

28001 Schoenherr Rd
Ste 6
Warren, MI 48088
Phone (586) 806-6284

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1740677236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28001 SCHOENHERR RD STE 6",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884396",
            "telephone_number": "586-999-8330",
            "fax_number": "586-999-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28001 SCHOENHERR RD STE 6",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884396",
            "telephone_number": "586-999-8330",
            "fax_number": "586-999-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC TEAM REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "CIOTTI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "586-999-8330"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Warren",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Warren",
            "address_1": "28001 Schoenherr Rd Ste 6",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480884396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.