Organization Active NPI

Op Therapy, LLC

  • Cardiovascular Specialist/Technologist
  • Freeland, MI
National Provider Identifier
1972744100
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
Legal business name
OP THERAPY, LLC
Practice address
7760 Kochville Rd
Freeland, MI 48623-8655
Phone
(517) 695-6626
Fax
(517) 695-6873
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mr. John Cooke
Title
President
Phone
(800) 950-3005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X MI Primary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X

Addresses

Primary practice location

7760 Kochville Rd
Freeland, MI 48623-8655

Mailing address

7760 Kochville Rd
Freeland, MI 48623-8655
Phone (517) 695-6626

Other identifiers 2

IdentifierTypeStateIssuer
700G300780OtherMIBCBSM PIN
P00816164OtherMIMEDICARE RAILROAD IDTF (ONE PER TAX ID)

Other names 1

  • In-House Diagnostic Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

8207 Solutions Ctr
Chicago, IL 60677

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1972744100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 KOCHVILLE RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238655",
            "telephone_number": "517-695-6626",
            "fax_number": "517-695-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 KOCHVILLE RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238655",
            "telephone_number": "517-695-6626",
            "fax_number": "517-695-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-950-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "700G300780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD IDTF (ONE PER TAX ID)",
            "identifier": "P00816164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In-House Diagnostic Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.