Novi DPT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012100 Issued in MI

Legal business name

NOVI DPT LLC

Doing business as

Novi Doctors of Physical Therapy

Practice address

21600 Novi Rd Ste 400
Novi, MI 48375-5605

Phone

(248) 679-5396

Fax

(248) 679-5397

NPI assigned

May 14, 2007

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Bailey

Title

Office Manager

Phone

(248) 679-5396

Specialties & licenses 1

Addresses

Other names 2

• Novi Doctors of Physical Therapy Doing business as
• Nudoc Physical Therapy, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Samuel Burns, DPT

  • Physical Therapist
  • Novi, MI
  • NPI 1902812050
  Medicare reassignment Care Compare group NPD
• William Anthony Carter, PT, DPT

  • Physical Therapist
  • Novi, MI
  • NPI 1306724075
  Medicare reassignment Care Compare group NPD
• Michael Hernton

  • Behavior Technician
  • Novi, MI
  • NPI 1831735976
  Medicare reassignment Care Compare group NPD
• Michael Jordan Peres, DPT, PT

  • Physical Therapist
  • Waterford, MI
  • NPI 1023809902
  Medicare reassignment Care Compare group NPD
• Samantha Atty, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1760246789

  MI

  Medicare reassignment Care Compare group NPD
• Kwesi Easley, DPT

  • Physical Therapist
  • Novi, MI
  • NPI 1619594009
  Medicare reassignment Care Compare group
• Radwan Al-Dahhan

  • Physical Therapist
  • Novi, MI
  • NPI 1265224117
  Medicare reassignment NPD
• Michelle Joan Kanitz, DPT

  • Physical Therapist
  • South Lyon, MI
  • NPI 1679888739
  Medicare reassignment
• Deborah Moseley, PT

  • Physical Therapist
  • Taylor, MI
  • NPI 1538658026
  Medicare reassignment
• Klajdi Sina, P.T.

  • Physical Therapist
  • Novi, MI
  • NPI 1427414127
  Medicare reassignment
• Nyisha Scott, PTA

  • Physical Therapy Assistant
  • Novi, MI
  • NPI 1639807654
  NPD
• Kira Gabrielle Planck, LAT, ATC

  • Athletic Trainer
  • Milford, MI
  • NPI 1497315840
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1972719474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD",
            "address_2": "STE 600 D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755605",
            "telephone_number": "248-679-5396",
            "fax_number": "248-679-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD STE 400",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755605",
            "telephone_number": "248-679-5396",
            "fax_number": "248-679-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-679-5396"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novi Doctors of Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nudoc Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Novi Chiropractic Clinic PC
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• Novi Dentists PLLC
• Novi Dermatology PLLC
• Novi Discount Pharmacy LLC (Max Care Pharmacy)
• Novi Family Dental Center PC
• Novi Family Dentist, PLLC
• Novi Health & Wellness PLLC
• Novi Health Center P C
• Novi Implants & Periodontics

• Physical Therapist in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.