Theresa Mary Maday, PT,DPT,MTC,CPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501003462 Issued in MI

Practice address

193 E Jefferson St
Frankenmuth, MI 48734-1935

Phone

(989) 652-4040

Fax

(989) 652-4703

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northport Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Northport, MI
  • NPI 1366835811

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Diversified Physical Therapy Specialists Inc

  • Physical Therapist
  • Frankenmuth, MI
  • NPI 1104909316
  NPD (past) Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1154596807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9242 ORMES RD",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689682",
            "telephone_number": "989-652-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 E JEFFERSON ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341935",
            "telephone_number": "989-652-4040",
            "fax_number": "989-652-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAY",
        "first_name": "THERESA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PT,DPT,MTC,CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Home Care Agency, Inc.
• Lutheran Home Care Agency, Inc.
• Lutheran Homes of Michigan, Inc.
• Lutheran Homes of Michigan, Inc.
• Barbara A Macdonald, RPH
• Michael R Madieros
• Lori R Malochleb, DC
• Payton M Malochleb, DC
• Mark R Limberg D C LLC
• Elizabeth M. Marshall, MD

• Physical Therapist in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.