Active NPI
Oosthoek Physical Therapy PC
- Orthopedic Physical Therapist
- Dearborn, MI
National Provider Identifier
1740945443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- OOSTHOEK PHYSICAL THERAPY PC
- Practice address
- 24530 Michigan Ave
Dearborn, MI 48124-1711 - Phone
- (313) 759-0777
- Fax
- (313) 749-7882
- NPI assigned
- Nov 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kornelis Oosthoek, PT
- Title
- President
- Phone
- (248) 318-0026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
24530 Michigan Ave
Dearborn, MI 48124-1711
Mailing address
1247 Castlewood Dr
White Lake, MI 48386-3720
Phone (248) 318-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6200 N Haggerty Rd
Ste 500
Canton, MI 48187
Phone (734) 215-2434
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Canton, MI
- NPI 1770671299
-
- Physical Therapist
- White Lake, MI
- NPI 1497256481
-
- Facial Plastic Surgery Physician
- Dearborn, MI
- NPI 1376854570
-
- Orthopaedic Surgery Physician
- Dearborn, MI
- NPI 1659492031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636329600000",
"number": "1740945443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 CASTLEWOOD DR",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483863720",
"telephone_number": "248-318-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24530 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241711",
"telephone_number": "313-759-0777",
"fax_number": "313-749-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OOSTHOEK PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-08",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A",
"authorized_official_last_name": "OOSTHOEK",
"authorized_official_first_name": "KORNELIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-318-0026",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.