Michael J Tulett, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000293 Issued in MI

Practice address

281 Enterprise CT
Bloomfield Hills, MI 48302-0309

Phone

(248) 322-5280

NPI assigned

Mar 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1720614688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 SUMPTER RD",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481119680",
            "telephone_number": "734-985-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 ENTERPRISE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020309",
            "telephone_number": "248-322-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULETT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN LICENSE",
            "identifier": "2601000293",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Armand Truan, M.D.
• Nestor J Truccone, MD
• Alexander Tsinberg, M.D.
• Megan Tucci
• Quentessa Tuff
• Padmaja Tummala, OTR/L
• Twin Lakes Medical Associates, P.C.
• Twyla Rose & Co, PLLC
• Allison Tyler, DPT
• Ngozi Ukandu, RPH

• Athletic Trainer in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2020; 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.