Individual provider Active NPI

Teraneh Jean Huotari, MPT

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1861635179
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010987 Issued in MI
Practice address
27427 Schoenherr Rd Ste 200
Warren, MI 48088-4729
Phone
(586) 754-4417
Fax
(586) 754-4473
NPI assigned
Apr 16, 2009
Last updated
Nov 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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 5501010987 MI Primary

Addresses

Primary practice location

27427 Schoenherr Rd Ste 200
Warren, MI 48088-4729

Mailing address

27427 Schoenherr Rd Ste 200
Warren, MI 48088-4729
Phone (586) 754-4417

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

LicenseStateTypeSpecialty
5501010987MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist PastSince Jul 29, 2019 Accepting new patients
Oakland Physical Therapy, PC Physical Therapist PastSince Jan 13, 1999 Accepting new patients
Julie L. Henry, M.D, P.C. PastSince Feb 14, 2003 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1861635179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27427 SCHOENHERR RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884729",
            "telephone_number": "586-754-4417",
            "fax_number": "586-754-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27427 SCHOENHERR RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884729",
            "telephone_number": "586-754-4417",
            "fax_number": "586-754-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUOTARI",
        "first_name": "TERANEH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.