Associted Orthopedist of Detroti
NPI 1689932980ActiveOrganization· Physical Therapy Assistant· Shelby Twp, MI
Physical Therapy Assistant in Shelby Twp, Michigan, registered in NPPES in April 2012. The authorized official on file is Jamie Johnson, Credentialing Manager.
Overview
| NPI | 1689932980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2012 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 55020000231 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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