Individual provider Active NPI

Oliver C. Patalinghug, PT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1831142488
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005647 Issued in MI
Practice address
2370 Walton Blvd
Suite 1
Rochester Hills, MI 48309-1471
Phone
(248) 608-3149
Fax
(248) 608-3149
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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 5501005647 MI Primary

Addresses

Primary practice location

2370 Walton Blvd
Suite 1
Rochester Hills, MI 48309-1471

Mailing address

61 W Hamlin Rd
Rochester Hills, MI 48307-3835
Phone (248) 608-3149

Other identifiers 6

IdentifierTypeStateIssuer
4670561MedicaidMI
65-0-F3-6075-0OtherMIBLUE CROSS BLUE SHIELD
141317OtherMICARE CHOICES
562474213OtherMIPPOM
562474213OtherMIAETNA
024298OtherMIMIDWEST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000424 MI Practitioner - Physical Therapist in Private Practice 7012902166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 Barclay Cir
Suite 135
Rochester Hills, MI 48307-5805
Phone (248) 844-2665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501005647MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2004 Accepting new patients

Locations

705 Barclay Cir
Ste 135
Rochester Hills, MI 48307
Phone (248) 844-2665

705 Barclay Cir
Ste 110
Rochester Hills, MI 48307
Phone (248) 844-2665

2370 Walton Blvd
Ste 1
Rochester Hills, MI 48309
Phone (248) 601-9200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1831142488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W HAMLIN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073835",
            "telephone_number": "248-608-3149",
            "fax_number": "248-608-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 WALTON BLVD",
            "address_2": "SUITE 1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091471",
            "telephone_number": "248-608-3149",
            "fax_number": "248-608-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALINGHUG",
        "first_name": "OLIVER",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4670561",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65-0-F3-6075-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "141317",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "562474213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "562474213",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST",
            "identifier": "024298",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.