Active NPI
Michelle Therese Nimmoor, DPT
- Physical Therapist
- Royal Oak, MI
National Provider Identifier
1073661112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012260
- Practice address
- 4949 Coolidge Hwy
Royal Oak, MI 48073-1026 - Phone
- (248) 655-5700
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012260 | MI | Primary |
Addresses
Primary practice location
4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Mailing address
1190 Hickory Hill Dr
Rochester Hills, MI 48309-1707
Phone (810) 599-9474
Other practice location 1
35746 Harper Ave
Clinton Township, MI 48035-3212
Phone (586) 791-9203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Michigan Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26657 Woodward Ave
Huntington Woods, MI 48070-1300
Phone (248) 878-5175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelvic Abdominal Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
26657 Woodward Ave
Ste 102
Huntington Woods, MI 48070
Phone (248) 399-7447
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Huntington Woods, MI
- NPI 1851817555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073661112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 HICKORY HILL DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091707",
"telephone_number": "810-599-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 COOLIDGE HWY",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480731026",
"telephone_number": "248-655-5700"
}
],
"practiceLocations": [
{
"address_1": "35746 Harper Ave",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480353212",
"country_code": "US",
"telephone_number": "586-791-9203",
"fax_number": "586-791-9204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIMMOOR",
"first_name": "MICHELLE",
"middle_name": "THERESE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.