Individual provider Active NPI

Diane E Tremblay, PT

  • Orthopedic Physical Therapist
  • Auburn Hills, MI
National Provider Identifier
1639304777
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501002792 Issued in MI
Practice address
3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone
(248) 377-8000
Fax
(248) 377-2929
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501002792 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone (248) 377-8000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Knee & Sports Medicine, PC Past Accepting new patients

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1639304777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "DIANE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501002792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.