Active NPI
Teri Lynn Hammer, D.O
- Neuromusculoskeletal Medicine & OMM Physician
- Grosse Pointe Woods, MI
National Provider Identifier
1407854003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- TH015883
- Practice address
- 20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236-1392 - Phone
- (313) 882-8070
- Fax
- (313) 882-8413
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | TH015883 | MI | Primary |
Addresses
Primary practice location
20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236-1392
Mailing address
20867 Mack Ave
Ste 7
Grosse Pointe Woods, MI 48236-1392
Phone (313) 882-8070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201894790 | Other | MI | TAX ID |
| 1258211835 | Other | MI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 9, 2025 through May 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TH015883 | MI | MD | Neuromusculoskeletal Medicine & OMM Physician |
Interoperability endpoints
- thammer61633@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1407854003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20867 MACK AVE",
"address_2": "STE 7",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361392",
"telephone_number": "313-882-8070",
"fax_number": "313-882-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20867 MACK AVE",
"address_2": "STE 7",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361392",
"telephone_number": "313-882-8070",
"fax_number": "313-882-8413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "TERI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "TH015883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "201894790",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1258211835",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.