Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa J Ogboh, DPT

Individual provider Physical Therapist · NPI 1174097356

Marissa J Ogboh, DPT is a Physical Therapist in Private Practice in Clinton Twp, Michigan. Graduated from Oakland College of Medicine and Surgery in 2018, 8 years ago. Practices with Kss of Shelby LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Oakland College of Medicine and Surgery
Licensed in
MI
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

21550 Harrington St Ste D
Clinton Twp, MI 48036-2362
Phone: (586) 783-7590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019049 (MI)

Record details

NPI number1174097356
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJanuary 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOAKLAND COLLEGE OF MEDICINE AND SURGERY
Graduated 2018 (8 years in practice)
Group practice Kss Of Shelby Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Clinton Twp