Individual provider Active NPI

Teresa Renee Finnigan

  • Speech-Language Pathologist
  • Holly, MI
National Provider Identifier
1124658042
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101006568 Issued in MI
Practice address
10483 Dixie Hwy
Holly, MI 48442-9311
Phone
(810) 771-7685
NPI assigned
Jan 20, 2020
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101006568 MI Primary

Addresses

Primary practice location

10483 Dixie Hwy
Holly, MI 48442-9311

Mailing address

5443 Ole Banner TRL
Grand Blanc, MI 48439-7641

Other practice location 1

965 Emerson Pkwy Ste G
Greenwood, IN 46143-6274
Phone (317) 324-3765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210001551 MI Practitioner - Qualified Speech Language Pathologist 4688000797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Western Michigan Un Homer Stryker School of Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level 11 Physical TherapyGroup PAC ID 8527104835, 23 clinicians

Practice addresses (Care Compare)

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686

3420 W Rd
Trenton, MI 48183-2323
Phone (734) 671-1923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101006568MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Level Eleven Saginaw, LLC CurrentSince Oct 1, 2023 Accepting new patients
Level Eleven Howell CurrentSince Mar 8, 2020 Accepting new patients
RWW Outpatient Rehab Services, LLC Speech-Language Pathologist CurrentSince Mar 29, 2022 Accepting new patients
Level Eleven Howell, LLC CurrentSince Sep 24, 2023 Accepting new patients
RWW Outpatient Rehab Services, LLC CurrentSince Jan 20, 2021 Accepting new patients
RWW Outpatient Rehab Services, LLC CurrentSince Jan 20, 2021 Accepting new patients
Level Eleven Saginaw CurrentSince Jan 27, 2020 Accepting new patients
Level 11 Physical Therapy CurrentSince Jan 27, 2020 Accepting new patients

Locations

965 Emerson Pkwy
Ste G
Greenwood, IN 46143
Phone (317) 324-3765

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

10483 Dixie Hwy
Holly, MI 48442
Phone (810) 498-2301

1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

13331 15 Mile Rd
Sterling Heights, MI 48312
Phone (586) 788-0702

3420 West Rd
Trenton, MI 48183
Phone (734) 215-9569

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1124658042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5443 OLE BANNER TRL",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10483 DIXIE HWY",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429311",
            "telephone_number": "810-771-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Emerson Pkwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436274",
            "country_code": "US",
            "telephone_number": "317-324-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNIGAN",
        "first_name": "TERESA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.