Brooke Terwilliger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010458 Issued in MI

Practice address

5363 N State Rd
Davison, MI 48423-8595

Phone

(810) 652-6434

Fax

(810) 652-6435

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

No

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

Chiropractic

Education

Life Chiropractic College, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Family Chiropractic, PLLCGroup PAC ID 0840578431, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Performance Family Chiropractic, PLLC

  • Chiropractor
  • Davison, MI
  • NPI 1164971677
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1154773554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S WOODWARD AVE",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639492",
            "telephone_number": "810-625-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 N STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238595",
            "telephone_number": "810-652-6434",
            "fax_number": "810-652-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERWILLIGER",
        "first_name": "BROOKE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Marie Tatarsky
• Gregory Taylor
• Kristen Tebbutt, MS OTR/L
• Bethany Michaela-Clark Tecson, MOT, OTR/L
• Nicole Marie Tefft, LMT
• The Way of the Lotus Counseling and Wellness, LLC
• Deana Thompson, NP
• Timothy R Harris OD PLC
• Abigail Elizabeth Tison, DPT
• Tlchiropractic LLC

• Chiropractor in Davison, MI
• Providers in Davison, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.