Individual provider Active NPI

Robert Ted Neda

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1508303074
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017788 Issued in MI
Practice address
1701 South Blvd E
#110
Rochester Hills, MI 48307-6122
Phone
(248) 853-4431
Fax
(248) 853-5048
NPI assigned
Jan 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017788 MI Primary

Addresses

Primary practice location

1701 South Blvd E
#110
Rochester Hills, MI 48307-6122

Mailing address

1701 South Blvd E
#110
Rochester Hills, MI 48307-6122
Phone (248) 853-4431

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017788MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Physical Therapy LTD. Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients

Locations

23852 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-4222

1291 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0300

1701 South Blvd E
Ste LL35
Rochester Hills, MI 48307
Phone (248) 853-4431

15245 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 284-6582

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1508303074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "#110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-853-4431",
            "fax_number": "248-853-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "#110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-853-4431",
            "fax_number": "248-853-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDA",
        "first_name": "ROBERT",
        "middle_name": "TED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017788",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2017; 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.