Active NPI
Albert J Neukom III, MPT ATC CMPT OCS
- Physical Therapist
- Coldwater, MI
National Provider Identifier
1962751537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010291
- Practice address
- 410 N Willowbrook Rd
Coldwater, MI 49036-9462 - Phone
- (517) 279-9599
- Fax
- (517) 279-1679
- NPI assigned
- Aug 29, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010291 | MI | Primary |
| Sports Physical Therapist | 2251S0007X | 2601000394 | MI |
Addresses
Primary practice location
410 N Willowbrook Rd
Coldwater, MI 49036-9462
Mailing address
410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone (517) 279-9599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.57 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 85.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000394 | MI | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Famiily Practice and Orthopedic Care Center, P.C. | Physical Therapist | Current | Accepting new patients |
| Family Practice & Orthopedic Care Center P.C. | Current | Accepting new patients |
Locations
410 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 279-7887
38 E Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-2222
Interoperability endpoints
- aneukom989988@direct.hfhs.org
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.
-
- Specialist
- Coldwater, MI
- NPI 1861720831
-
- Orthopaedic Surgery Physician
- Coldwater, MI
- NPI 1831421528
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1962751537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N WILLOWBROOK RD",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490369462",
"telephone_number": "517-279-9599",
"fax_number": "517-279-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N WILLOWBROOK RD",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490369462",
"telephone_number": "517-279-9599",
"fax_number": "517-279-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUKOM",
"first_name": "ALBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MPT ATC CMPT OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010291",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MI",
"license": "2601000394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.