Individual provider Active NPI

Albert J Neukom III, MPT ATC CMPT OCS

  • Physical Therapist
  • Coldwater, MI
National Provider Identifier
1962751537
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010291 Issued in MI
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

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2601000394MIMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Famiily Practice and Orthopedic Care Center, P.C. Physical Therapist CurrentSince Sep 10, 2012 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.