Individual provider Active NPI

Jillian Leigh Nixon

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1437658853
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019997 Issued in MI
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1437658853MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210406000485 MI Practitioner - Physical Therapist in Private Practice 7719247717 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince May 10, 2022 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Mar 22, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Mar 22, 2021 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.

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

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.

Verify at the official NPI Registry.