Ortho Care Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501002451 Issued in MI

Legal business name

ORTHO CARE PHYSICAL THERAPY, INC.

Practice address

30695 Little Mack Ave
Suite 600
Roseville, MI 48066-1771

Phone

(586) 294-9030

Fax

(586) 294-9033

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Apostolos Kerasiotis, D.P.T.NPI 1124306618

Title

Owner

Phone

(586) 294-9030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 236623

Legal name

ORTHO CARE PHYSICAL THERAPY INC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 23, 1993

Last certification

Nov 26, 2024

Ownership / control type

Proprietary

Facility address

30695 Little Mack, Suite 600
Roseville, MI 48066

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Apostolos George Kerasiotis, D.P.T.

  • Physical Therapist
  • Roseville, MI
  • NPI 1124306618
  NPD Authorized official
• Katherine Palazzolo, PT

  • Physical Therapist
  • Livonia, MI
  • NPI 1295965671
  NPD

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1962438440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE",
            "address_2": "SUITE 600",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661771",
            "telephone_number": "586-294-9030",
            "fax_number": "586-294-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE",
            "address_2": "SUITE 600",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661771",
            "telephone_number": "586-294-9030",
            "fax_number": "586-294-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO CARE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "KERASIOTIS",
        "authorized_official_first_name": "APOSTOLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-294-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501002451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "30476",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kevin Paul Ormsby, DPT
• Benjamin O Osowa, M.D.
• Timothy Gregory Ossman Jr., MA, SCL, LPC
• Gretchen A Ouweleen
• Majeed A Paduvana, MD
• Adam Louis Palleschi, D.C., M.S., B.S.

• Physical Therapy Clinic/Center in Roseville, MI
• Providers in Roseville, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.