David Clisch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017805 Issued in MI

Practice address

406 W Hudson Ave
Royal Oak, MI 48067-3122

Phone

(734) 953-4155

Fax

(734) 953-1622

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allen Physical Therapy Novi LLCGroup PAC ID 3072923929, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allen Physical Therapy Novi LLC

  • Physical Therapist
  • Novi, MI
  • NPI 1538767728
  Medicare reassignment Care Compare group NPD
• All-Pro Physical Therapy LLC

  • Physical Therapist
  • Livonia, MI
  • NPI 1336329747
  Medicare reassignment NPD
• Jeffery David Allen, PT

  • Physical Therapist
  • South Lyon, MI
  • NPI 1285733089
  Medicare reassignment
• All-Pro Physical Therapy LLC

  • Physical Therapist
  • Rochester, MI
  • NPI 1285152421
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1841745940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W HUDSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673122",
            "telephone_number": "517-614-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W HUDSON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673122",
            "telephone_number": "734-953-4155",
            "fax_number": "734-953-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLISCH",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Clifton
• Philip Clifton
• Dayna Cline
• Rachel Ann Cline, RD
• Megan Clippard, NP
• Chelsea Cloke, NP
• CLS-HC Partners PLLC
• Brian Coats
• Hallee Mikay Coffey, NP
• Cognizance Behavioral Health PLLC

• Physical Therapist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.