Organization Active NPI

Orthosport Physical Therapy Center, Inc.

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1790980183
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOSPORT PHYSICAL THERAPY CENTER, INC.
Practice address
46615 Michigan Ave
Canton, MI 48188-2336
Phone
(734) 961-9626
Fax
(734) 961-9627
NPI assigned
Jun 18, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Veli Pekka Sipila, PT, OMT, FAAOMPTNPI 1922161553
Title
Physicial Therapist
Phone
(734) 961-9626

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)CodeLicenseStatePrimary
Physical Therapist 225100000X MI Primary

Addresses

Primary practice location

46615 Michigan Ave
Canton, MI 48188-2336

Mailing address

46615 Michigan Ave
Canton, MI 48188-2336
Phone (734) 961-9626

Other identifiers 1

IdentifierTypeStateIssuer
OH24391OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000416 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577579069 Receives reassigned benefits from 2 practitioners
Practice locations: Grosse Ile, MI; Canton, MI

National Provider Directory

National Provider Directory

Locations

46615 Michigan Ave
Canton, MI 48188
Phone (734) 961-9626

8950 Macomb St
Grosse Ile, MI 48138
Phone (734) 307-7037

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790980183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46615 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882336",
            "telephone_number": "734-961-9626",
            "fax_number": "734-961-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46615 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882336",
            "telephone_number": "734-961-9626",
            "fax_number": "734-961-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORT PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIPILA",
        "authorized_official_first_name": "VELI PEKKA",
        "authorized_official_title_or_position": "PHYSICIAL THERAPIST",
        "authorized_official_telephone_number": "734-961-9626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OMT, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OH24391",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.