STONEBROOKE FAMILY PHYSICIANS (NPI# 1972667780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972667780 |
| Entity Type | Organization |
| Organization Name | STONEBROOKE FAMILY PHYSICIANS |
| Other Organization Name | PHYSICAL THERAPY INSTITUTE OF ROCHESTER HILLS |
| Practice Address |
2930 Crooks Rd Rochester Hills MI 48309-3609 |
| Practice Telephone | 2489979700 |
| Practice Fax Number | 2489979710 |
| Mailing Telephone | 2489979700 |
| Mailing Fax Number | 2489979710 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RON BELLISARIO (PARTNER) |
| Authorized Official Telephone | 2489979700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Physical Therapy Institute of Rochester Hills | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682767 | Stonebrooke Family Physicians | Family Medicine | 2940 Crooks Rd, Rochester Hills, MI 48309-3609 | 2006-05-03 |
| Street Address |
2930 CROOKS RD |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770086217 | Michelle Duckett | Physical Therapist | 5722 Metro Way Sw, Wyoming, MI 49519-9524 | 2018-03-12 |
| 1902308471 | Stacey Pagorek | Physical Therapist | 24 Frank Lloyd Wright Drive Lobby A - Medsport, Ann Arbor, MI 48106 | 2018-03-01 |
| 1245367473 | Brian J Adams | Physical Therapist | 46001 Grand River Ave, Suite A, Novi, MI 48374-1319 | 2007-02-27 |
| 1508848318 | Mary Free Bed Rehabilitation, L.l.c | Physical Therapist | 1845 Livernois Rd, Troy, MI 48083-1731 | 2005-11-17 |
| 1487254561 | Eric Kinney | Physical Therapist | 46001 Grand River Ave, Novi, MI 48374-1319 | 2020-10-28 |
| 1679065379 | Wendy Joan Dufour | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-05-30 |
| 1457857005 | Daniel Wolocko | Physical Therapist | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2018-04-03 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1720580327 | David Selak | Physical Therapist | 39901 Traditions Dr, Northville, MI 48168-9493 | 2018-02-28 |
| 1033610886 | Derek Chan | Physical Therapist | 6525 2nd Ave, Detroit, MI 48202-3006 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
Please comment or provide details below to improve the information on STONEBROOKE FAMILY PHYSICIANS.
| 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.