ASSOCIATED ORTHOPEDIST OF DETROIT
NPI 1902165566
Physical Therapy Assistant in Saint Clair Shores, MI

NPI Status: Active since May 16, 2012

Contact Information

24715 LITTLE MACK AVE
SUITE 100
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 779-7970
Fax: (586) 779-7748

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  • Organization
  • Physical Therapy Assistant
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ASSOCIATED ORTHOPEDIST OF DETROIT

This page provides the complete NPI Profile along with additional information for Associated Orthopedist Of Detroit, a provider established in Saint Clair Shores, Michigan operating as a Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1902165566 assigned on May 2012. The practitioner's primary taxonomy code is 225200000X with license number 5502000482 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jamie Johnson (Credentialing Manager)

NPI
1902165566
Provider Name
ASSOCIATED ORTHOPEDIST OF DETROIT
Entity Type
Organization
Location Address
24715 LITTLE MACK AVE SUITE 100 SAINT CLAIR SHORES, MI 48080
Location Phone
(586) 779-7970
Location Fax
(586) 779-7748
Mailing Address
24715 LITTLE MACK AVE SUITE 100 SAINT CLAIR SHORES, MI 48080
Mailing Phone
(586) 779-7970
Mailing Fax
(586) 779-7748
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2012
Last Update Date
05-22-2025
Code Navigator



Associated Orthopedist Of Detroit is a medicare supplier with PTAN 20671253 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Osteogenesis Stimulators or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
5502000482
License State
MI
Taxonomy Description
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMIE JOHNSON

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(586) 710-2307

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20671253
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Provider Type List
PHYSICIAN – ORTHOPEDIC/ORTHOPEDIC SURGERY, SPORTS MEDICINE.
Competitive Bidding
NO

Supplies List

  • Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902165566, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 2 + 6 + 1 + 0 + 5 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1902165566.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
24715 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Social Worker (Clinical)
24715 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Physical Therapist
24715 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Psychologist (Clinical)
24715 LITTLE MACK AVE, STE. 200
SAINT CLAIR SHORES, MI 48080
Psychologist
24715 LITTLE MACK AVE, SUITE200
SAINT CLAIR SHORES, MI 48080
Social Worker (Clinical)
24715 LITTLE MACK AVE, SUITE 200
SAINT CLAIR SHORES, MI 48080
Counselor (Mental Health)
24715 LITTLE MACK AVE, STE. 200
SAINT CLAIR SHORES, MI 48080
Psychologist (Counseling)
24715 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Psychologist (Clinical)
24715 LITTLE MACK AVE, SUITE 200
SAINT CLAIR SHORES, MI 48080
Counselor (Mental Health)
24715 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, STE. 100
SAINT CLAIR SHORES, MI 48080
Psychiatry & Neurology (Psychiatry)
24715 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Clinic/Center (Mental Health (Including Community Mental Health Center))
24715 LITTLE MACK AVE, SUITE 200
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
ST CLAIR SHORES, MI 48080
Orthopaedic Surgery
24715 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Physical Therapist
24715 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902165566, enumerated as an "organization" on May 16, 2012.

The provider is located at 24715 LITTLE MACK AVE SUITE 100 SAINT CLAIR SHORES, MI 48080 and the phone number is (586) 779-7970.

Physical Therapy Assistant with taxonomy code 225200000X.