OP THERAPY, INC (NPI# 1346291150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346291150 |
| Entity Type | Organization |
| Organization Name | OP THERAPY, INC |
| Other Organization Name | IN HOUSE DIAGNOSTIC SERVICES |
| Practice Address |
24301 Telegraph Rd Southfield MI 48033-3012 |
| Practice Telephone | 8009503005 |
| Practice Fax Number | 2483569297 |
| Mailing Telephone | 8009503005 |
| Mailing Fax Number | 2483569297 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-09-03 |
| Authorized Official Name | MR. JOHN COOKE (PRESIDENT) |
| Authorized Official Telephone | 8009503005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0F329390 | 01 |
| Other Name | Type Code |
|---|---|
| In House Diagnostic Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | OP THERAPY, INC. | C/o Corporate Secretary, 1035 Powers Place, Alpharetta, GA 30009 |
| Street Address |
24301 TELEGRAPH RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649415936 | Op Therapy, LLC | Spec/Tech, Cardiovascular | 24301 Telegraph Rd, Southfield, MI 48033-3012 | 2008-12-16 |
| 1962647313 | Op Therapy, LLC | Radiologic Technologist | 24301 Telegraph Rd, Southfield, MI 48033-3012 | 2008-12-12 |
| 1326266578 | Op Therapy, Inc. | Radiologic Technologist | 24301 Telegraph Rd, Southfield, MI 48034-3012 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362406 | Rapid Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24450 Evergreen Rd Ste 215b, Southfield, MI 48075-5546 | 2020-07-06 |
| 1255692646 | Mxdiagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24901 Northwestern Hwy Ste 609, Southfield, MI 48075-2210 | 2012-06-03 |
| 1386972602 | Am Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17520 W 12 Mile Road, Suite 108, Southfield, MI 48076-1945 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232223 | Indeal LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1192 Bembridge Dr, Rochester Hills, MI 48307-5715 | 2019-03-01 |
| 1790299964 | Pegasus Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3686 Brandi Dr, Sterling Heights, MI 48310-2538 | 2017-11-27 |
| 1487982922 | Bobchi Inverciones L.L.C. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3628 Shady Ridge Rd, Jackson, MI 49201-9352 | 2009-11-20 |
| 1912169186 | Medical Diagnostic Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4479 Pontiac Lake Rd, Suite 1d, Waterford, MI 48328-2059 | 2008-06-30 |
| 1114118171 | Zoomx Mobile Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30230 Orchard Lake Rd, Suite 100, Farmington Hills, MI 48334-2267 | 2007-08-06 |
| 1295952745 | Op Therapy, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7760 Kochville Rd, Freeland, MI 48623-8655 | 2007-04-19 |
| 1043344690 | Patrick W Bozarth | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 227 N 9th St, Escanaba, MI 49829-3815 | 2007-03-15 |
| 1003156019 | Mobile X Ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 24381 Orchard Lake Rd, Ste C, Farmington Hills, MI 48336-1917 | 2013-02-28 |
| 1871854265 | Source Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7581 Secor Rd, Lambertville, MI 48144-9624 | 2012-06-03 |
| 1366740359 | Lakeshore Diagnostics Ultrasound, Co. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1003 Woodside Ave, Essexville, MI 48732-1234 | 2011-03-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.