Active NPI
Op Therapy, LLC
- Cardiovascular Specialist/Technologist
- Freeland, MI
National Provider Identifier
1972744100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | MI | Primary | |
| Vascular Specialist/Technologist Cardiovascular | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700G300780 | Other | MI | BCBSM PIN |
| P00816164 | Other | MI | MEDICARE RAILROAD IDTF (ONE PER TAX ID) |
Other names 1
- In-House Diagnostic Solutions
National Provider Directory
National Provider DirectoryLocations
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.