Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184149551 Individual Practitioner Male Practitioner

David Trevisan , MSOP, CO

Orthotist • Jackson, MI

Professional Overview & Biography Verified Profile Summary

David Trevisan, MSOP, CO is a registered healthcare professional specializing in Orthotist in Jackson, MI. Practice services are available at 1407 E MICHIGAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1407 E Michigan Ave

Jackson, MI 492023517

Telephone 5177841142
Associated Practice Facility / Clinic
🏢 Jackson Urgent Care Pllc Facility NPI 1528643723

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Jackson, MI (43 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
222Z00000X (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1003338898

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2017

Registered at 1407 E MICHIGAN AVE, JACKSON, MI 492023517 (Tel: (517) 784-1142)

📍
Updated Business Mailing Address August 07, 2017

Registered at 1407 E MICHIGAN AVE, JACKSON, MI 492023517 (Tel: 5177841142)

👤
Provider Name / Credentials Updated August 07, 2017

Recorded as DAVID TREVISAN, MSOP, CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Orthotist

🟢
Initial NPI Registration & Enumeration August 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184149551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1407 E Michigan Ave

Jackson, MI 492023517

Phone: 5177841142

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.