Individual provider Active NPI

Timothy Michael Amstutz

  • Physical Therapy Assistant
  • West Bloomfield, MI
National Provider Identifier
1326623802
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502004454 Issued in MI
Practice address
6530 Farmington Rd Ste 100
West Bloomfield, MI 48322-3216
Phone
(248) 451-6010
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502004454 MI Primary

Addresses

Primary practice location

6530 Farmington Rd Ste 100
West Bloomfield, MI 48322-3216

Mailing address

6530 Farmington Rd Ste 100
West Bloomfield, MI 48322-3216
Phone (248) 451-6010

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tamstutz362376@direct.hfhs.org
Direct Messaging Address tamstutz362376@direct.hfhs.org
Direct Messaging Address tamstutz362376@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502004454MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1326623802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 FARMINGTON RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223216",
            "telephone_number": "248-451-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 FARMINGTON RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223216",
            "telephone_number": "248-451-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSTUTZ",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamstutz362376@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6530 Farmington Rd Ste 100",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamstutz362376@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6530 Farmington Rd Ste 100",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamstutz362376@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6530 Farmington Rd Ste 100",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.