Active NPI
Nicole Marie Robideau, DPT
- Physical Therapist
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015088
- Practice address
- 21550 Harrington St
Suite D
Clinton Township, MI 48036-2362 - Phone
- (586) 783-7590
- Fax
- (586) 783-7876
- NPI assigned
- Mar 9, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501015088 | MI | Primary |
Addresses
Primary practice location
21550 Harrington St
Suite D
Clinton Township, MI 48036-2362
Mailing address
1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650E031120 | Other | MI | BCBSM |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21550 Harrington St
Clinton Township, MI 48036-2362
Phone (586) 783-7590
32155 23 Mile Rd
Chesterfield, MI 48047-1986
Phone (586) 713-5590
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.73 of 100
- Quality
- 81.02
- Improvement activities
- 40
- Cost
- 53.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMS of Macomb TWP LLC | Current | Accepting new patients | |
| HQ of Algonac LLC | Physical Therapist | Current | Accepting new patients |
| CKS of Mt Clemens LLC | Physical Therapist | Current | Accepting new patients |
| Trishard P.C. | Past | Accepting new patients |
Locations
555 Saint Clair River Dr
Ste D
Algonac, MI 48001
Phone (810) 512-7474
21550 Harrington St
Ste D
Clinton Twp, MI 48036
Phone (586) 783-7590
22573 Hall Rd
Macomb, MI 48042
Phone (586) 231-0043
878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Mount Clemens, MI
- NPI 1619172673
Physical Therapist
-
- Physical Therapy Clinic/Center
- Macomb, MI
- NPI 1750527438
-
- Physical Therapist
- Algonac, MI
- NPI 1790279313
-
- Rehabilitation Clinic/Center
- Warren, MI
- NPI 1992793442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1467775148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 STAR BATT DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093708",
"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": "21550 HARRINGTON ST",
"address_2": "SUITE D",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480362362",
"telephone_number": "586-783-7590",
"fax_number": "586-783-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIDEAU",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "650E031120",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.