Individual provider Active NPI

Tonia M Musollaj, DPT

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1083182539
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018758 Issued in MI
Practice address
32255 Northwestern Hwy Ste 155a
Farmington Hills, MI 48334-1566
Phone
(248) 479-6330
Fax
(248) 479-6331
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018758 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 155a
Farmington Hills, MI 48334-1566

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 360-2644

Other names 1

  • Tonia M John Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000865 MI Practitioner - Physical Therapist in Private Practice 8022352905 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Rehabilitation Professionals, Inc Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Millennium Rehabilitation and Physical Therapy, PC Physical Therapist CurrentSince Jan 14, 2019 Accepting new patients
Pilot Physical Therapy LLC Physical Therapist CurrentSince Aug 6, 2023 Accepting new patients
Michigan Healthcare Professionals PC PastSince Jan 14, 2019 Accepting new patients
Quality Care Rehabilitation Professionals PastSince Sep 1, 2018 Accepting new patients

Locations

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

32255 Northwestern Hwy
Ste 155A
Farmington Hills, MI 48334
Phone (248) 479-6330

15023 21 Mile Rd
Shelby Township, MI 48315
Phone (586) 286-9644

21700 Northwestern Hwy
Ste 835
Southfield, MI 48075
Phone (248) 395-2273

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1083182539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-360-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 155A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341566",
            "telephone_number": "248-479-6330",
            "fax_number": "248-479-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOLLAJ",
        "first_name": "TONIA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONIA",
            "last_name": "JOHN",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.