Bryce Robertson, PTA
Physical Therapy Assistant in Novi, MI. Individual provider (NPI-1).
NPI number1154037992
StatusActive
Last updated in NPPESJan 25, 2023
Details
- NPI
- 1154037992
- Entity type
- Individual (NPI-1)
- Name
- Bryce Robertson
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2023
- Certification date
- Jan 20, 2023
- Last updated
- Jan 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5502008088 | MI | Yes |
Practice location
42350 Grand River AveNovi, MI 48375-1838
Phone 248-697-2942
Mailing address
6013 Strawberry Lake RdWhitmore Lake, MI 48189-9395
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Physical Therapy Assistant providers in Novi · All 8,418 providers in Novi
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