Individual provider Active NPI

Mustafa Aode

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1740744606
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302701 Issued in MI
Practice address
573 State Cir
Ann Arbor, MI 48108-1664
Phone
(734) 272-0090
NPI assigned
Jan 24, 2019
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501302701 MI Primary

Addresses

Primary practice location

573 State Cir
Ann Arbor, MI 48108-1664

Mailing address

573 State Cir
Ann Arbor, MI 48108-1664
Phone (313) 715-9701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705002292 MI Practitioner - Physical Therapist in Private Practice 5193184406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
69.19
Promoting interoperability
100
Improvement activities
40
Cost
83.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302701MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Porretta Center for Orthopaedic Surgery, PLLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
The Porretta Center for Orthopaedic Surgery, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Medical X-Ray Consultants, LTD Past Accepting new patients

Locations

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

26750 Providence Pkwy
#240
Novi, MI 48374
Phone (248) 349-7843

26750 Providence Pkwy
Ste 240
Novi, MI 48374
Phone (248) 687-7440

22250 Providence Dr
Ste 40
Southfield, MI 48075
Phone (248) 563-0306

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1740744606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 STATE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081664",
            "telephone_number": "313-715-9701",
            "fax_number": "734-272-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 STATE CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081664",
            "telephone_number": "734-272-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AODE",
        "first_name": "MUSTAFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.