Active NPI
Robert Brian John Bertoni
- Physical Therapist
- Chelsea, MI
National Provider Identifier
1891284097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008190
- Practice address
- 775 S Main St
Chelsea, MI 48118-1383 - Phone
- (734) 593-5600
- Fax
- (734) 593-6375
- NPI assigned
- May 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501008190 | MI | Primary |
Addresses
Primary practice location
775 S Main St
Chelsea, MI 48118-1383
Mailing address
34505 W 12 Mile Rd Ste 200
Farmington Hills, MI 48331-3286
Phone (734) 593-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501008190 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Probility Therapy Services | Physical Therapist | Current | Accepting new patients |
| Probility Therapy Services | Current | Accepting new patients |
Locations
3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760
3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760
Organizations & group practices 2
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.
-
- Physical Therapist
- Ypsilanti, MI
- NPI 1164458543
-
- Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1952873689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1891284097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34505 W 12 MILE RD STE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483313286",
"telephone_number": "734-593-5600",
"fax_number": "734-593-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 S MAIN ST",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481181383",
"telephone_number": "734-593-5600",
"fax_number": "734-593-6375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTONI",
"first_name": "ROBERT",
"middle_name": "BRIAN JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501008190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.