Brittney Agnes Missant

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201013252 Issued in MI

Practice address

100 W Square Lake Rd
Bloomfield Township, MI 48302-0463

Phone

(248) 282-4088

NPI assigned

Mar 23, 2023

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366

  Occupational Therapist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1912600305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46772 HARVESTER CT",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480446211",
            "telephone_number": "586-212-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SQUARE LAKE RD",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020463",
            "telephone_number": "248-282-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSANT",
        "first_name": "BRITTNEY",
        "middle_name": "AGNES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Kim, OD
• Julie Koelzer, FNP-BC
• Naomi Marie Lang
• Kiera McRae, PA-C
• Daniel Meram, M.D.
• Marisa Maria Monteleone, FNP-BC
• Vilma Lorena Monterosso, RPH
• Mudassir Daimee MD , PLLC
• MVPT Physical Therapy LLC
• Myeyedr Optometry of Michigan, LLC

• Occupational Therapist in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.