Active NPI
Jillian Leigh Nixon
- Physical Therapist
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019997
- Practice address
- 2820 Crooks Rd Ste 400
Rochester Hills, MI 48309-3673 - Phone
- (947) 479-4880
- Fax
- (947) 479-4881
- NPI assigned
- Feb 12, 2018
- Last updated
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | ||
| Physical Therapist | 225100000X | 5501019997 | MI | Primary |
Addresses
Primary practice location
2820 Crooks Rd Ste 400
Rochester Hills, MI 48309-3673
Mailing address
2820 Crooks Rd Ste 400
Rochester Hills, MI 48309-3673
Phone (947) 479-4880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437658853 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2820 Crooks Rd
Suite 400
Rochester Hills, MI 48309-3673
Phone (947) 479-4880
641 W 9 Mile Rd D
Novacare Rehabilitation
Ferndale, MI 48220-1779
Phone (248) 951-9080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East, Inc. | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-8280
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
641 W 9 Mile Rd
Ste D
Ferndale, MI 48220
Phone (248) 399-5212
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Ferndale, MI
- NPI 1386295210
-
dba ATI Physical Therapy
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1437658853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 CROOKS RD STE 400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093673",
"telephone_number": "947-479-4880",
"fax_number": "947-479-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 CROOKS RD STE 400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093673",
"telephone_number": "947-479-4880",
"fax_number": "947-479-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "JILLIAN",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2022-09-23",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437658853",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
- Angela Nickolai
- Nicole Savage Hinojosa Ma LPC PLLC (RE Therapy and Mental Health Services)
- Kendra Niemi, PMHNP-BC
- Andrea Nietzke, RPH
- Nishani and Associates
- Noble Care Dental Group PC
- Sa'Vaughn Noble, MA, LLC
- Normandy Optical Rochester PLLC
- North Oakland Dermatology PC
- North Oakland Gastroenterology Clinic PC (Premier Pathology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.