Active NPI
Theodore Christopher Spiro
- Physical Therapist
- Bloomfield Hills, MI
National Provider Identifier
1558835140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501002003
- Practice address
- 39312 Woodward Ave
Bloomfield Hills, MI 48304-5007 - Phone
- (248) 644-5522
- NPI assigned
- Jan 16, 2019
- Last updated
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 5501002003 | MI | Primary |
Addresses
Primary practice location
39312 Woodward Ave
Bloomfield Hills, MI 48304-5007
Mailing address
2630 Union Lake Rd
Commerce Township, MI 48382-3582
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501002003 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1558835140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 UNION LAKE RD",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483823582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39312 WOODWARD AVE",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483045007",
"telephone_number": "248-644-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRO",
"first_name": "THEODORE",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501002003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
- Specialized Podiatry Services P. C.
- Glenn S. Spencer, DDS
- Deborah Sperry, N.P.
- Alan V Spigelman, MD
- Spine & Sport Chiropractic Center Inc
- Sports Medicine Associates, PLC
- St Elizabeth Briarbank Home for the Aged
- Stacey J Francis PLLC
- Douglas Wayne Stanley, MSW, LMSW. FAODP
- Rebecca Leigh Starks, PMHNP-BC, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.