Casey Charlebois, MS,MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019764 Issued in MI

Practice address

36800 Woodward Ave Ste 210
Bloomfield Hills, MI 48304-0917

Phone

(248) 543-3566

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Casey Bush Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakland Lifestyle Medicine-PLLCGroup PAC ID 6901275296, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Oakland Lifestyle Medicine-PLLC

  • General Practice Physician
  • Bloomfield Hills, MI
  • NPI 1962129544
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1942525449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21316 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361047",
            "telephone_number": "248-733-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040917",
            "telephone_number": "248-543-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEBOIS",
        "first_name": "CASEY",
        "credential": "MS,MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "BUSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Chahine, OD
• Kongkrit Chaiyasate, MD
• Charles C. Chamberlain, PH.D.
• Angela Chaplow
• Eugene J. Chapp, M.D.
• Sharon Charlton
• Salma Alaudin Chaudhary, P.T.
• Maria Jose Chavarria Viales, MD
• Chengfong Chen, CRNA
• Chestnut Health of Michigan, PLLC

• Physical Therapist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.