Individual provider Active NPI

Angelo Dimaggio, PT DIP MDT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1205994571
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501001791 Issued in MI
Practice address
878 South Rochester Road
Rochester Hills, MI 48307
Phone
(248) 601-9207
Fax
(248) 650-8670
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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 5501001791 MI Primary

Addresses

Primary practice location

878 South Rochester Road
Rochester Hills, MI 48307

Mailing address

878 South Rochester Road
Rochester Hills, MI 48307
Phone (248) 601-9207

Other identifiers 1

IdentifierTypeStateIssuer
650F358200OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000455 MI Practitioner - Physical Therapist in Private Practice 5294863916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthquest Physical Therapy and Wellness Center LLCGroup PAC ID 5698847044, 16 clinicians
American Headache Institute LLCGroup PAC ID 7810165909, 2 clinicians

Practice addresses (Care Compare)

6012 Rochester Rd
Troy, MI 48085-1301
Phone (248) 650-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Diploma

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Physical Therapy and Wellness Center LLC Physical Therapist CurrentSince Mar 20, 2025 Accepting new patients
American Headache Institute LLC Physical Therapist CurrentSince Apr 11, 2011 Accepting new patients

Locations

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404

245 Barclay Cir
Ste 1000
Rochester Hills, MI 48307
Phone (248) 650-4404

2226 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 289-3584

878 S Rochester Rd
Ste B
Rochester Hills, MI 48307
Phone (248) 841-1543

6012 Rochester Rd
Troy, MI 48085
Phone (248) 650-4404

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1205994571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 SOUTH ROCHESTER ROAD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 SOUTH ROCHESTER ROAD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAGGIO",
        "first_name": "ANGELO",
        "credential": "PT DIP MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F358200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.