Active NPI
Nicole Brill, PT, DPT
- Physical Therapist
- Sterling Heights, MI
National Provider Identifier
1902228539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019536
- Practice address
- 13331 15 Mile Rd
Sterling Heights, MI 48312-4210 - Phone
- (586) 978-0376
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019536 | MI | Primary |
| Physical Therapist | 225100000X | 1216392 | TX |
Addresses
Primary practice location
13331 15 Mile Rd
Sterling Heights, MI 48312-4210
Mailing address
13331 15 Mile Rd
Sterling Heights, MI 48312-4210
Phone (586) 978-0376
Other practice location 1
1528 Post Office St
Galveston, TX 77550-4833
Phone (409) 797-1421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019536 | MI | MD | Physical Therapist |
| 1216392 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Level Eleven Howell, LLC | Current | Accepting new patients | |
| Level Eleven Saginaw, LLC | Current | Accepting new patients | |
| Michigan Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000
5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538
Organizations & group practices 3
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.
-
- Clinic/Center
- Howell, MI
- NPI 1376321174
-
- Rehabilitation Clinic/Center
- Saginaw, MI
- NPI 1164201679
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1902228539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13331 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483124210",
"telephone_number": "586-978-0376",
"fax_number": "586-978-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13331 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483124210",
"telephone_number": "586-978-0376"
}
],
"practiceLocations": [
{
"address_1": "1528 Post Office St",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775504833",
"country_code": "US",
"telephone_number": "409-797-1421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRILL",
"first_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019536",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1216392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.