Individual provider Active NPI

Theresa M Oney, MD

  • Physical Medicine & Rehabilitation Physician
  • Grosse Pointe, MI
National Provider Identifier
1629164397
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301085683 Issued in MI
Practice address
20870 Mack Avenue
Grosse Pointe, MI 48236
Phone
(313) 885-2334
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 49343 MN
Physical Medicine & Rehabilitation Physician 208100000X 4301085683 MI Primary

Addresses

Primary practice location

20870 Mack Avenue
Grosse Pointe, MI 48236

Mailing address

20870 Mack Avenue
Grosse Pointe, MI 48236
Phone (313) 885-2334

Other identifiers 1

IdentifierTypeStateIssuer
840027100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100123000155 MI Practitioner - Physical Medicine and Rehabilitation 3678579752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Michigan State University College of Human Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20870 Mack Ave
Grosse Pointe Woods, MI 48236-1388
Phone (313) 885-2334

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49343MNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Medical Specialists PLLC Physical Medicine & Rehabilitation CurrentSince Nov 5, 2012 Accepting new patients
Om Health & Wellness PastSince Jul 1, 2010 Accepting new patients
Rehab and Health, LLC Physical Medicine & Rehabilitation Past Accepting new patients
Rehabilitation Specialists of Chicago, LLC Physical Medicine & Rehabilitation PastSince Jan 4, 2010 Accepting new patients

Locations

20870 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 885-2334

22631 Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 771-0100

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1629164397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20870 MACK AVENUE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-885-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20870 MACK AVENUE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-885-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEY",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "49343",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301085683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840027100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

Verify at the official NPI Registry.