Individual provider Active NPI

Teresa Diehl

  • Physical Therapist
  • Commerce Township, MI
National Provider Identifier
1902519267
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302469 Issued in MI
Practice address
2001 Dallavo Dr Ste 102
Commerce Township, MI 48390-1653
Phone
(947) 210-2500
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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 5501302469 MI Primary

Addresses

Primary practice location

2001 Dallavo Dr Ste 102
Commerce Township, MI 48390-1653

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000583 MI Practitioner - Physical Therapist in Private Practice 7214308493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Wayne State University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HQ of Commerce LLCGroup PAC ID 0547607145, 5 clinicians
VMS of Macomb TWP LLCGroup PAC ID 7012072952, 22 clinicians

Practice addresses (Care Compare)

2001 Dallavo Dr
Suite 102
Commerce Township, MI 48390-1653
Phone (947) 210-2500

22573 Hall Rd
Macomb, MI 48042-5268
Phone (586) 231-0043

23211 N 21 Mile Rd
Macomb, MI 48042-5184
Phone (586) 231-0043

Merit-based Incentive Payment System (MIPS)

Final score
68.11 of 100Reported as group
Quality
62.17
Improvement activities
40
Cost
63.07

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
76.08
Improvement activities
40
Cost
61.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HQ of Oxford LLC Physical Therapist CurrentSince Jun 16, 2023 Accepting new patients
VMS of Macomb TWP LLC CurrentSince Jan 3, 2023 Accepting new patients
Trishard P.C. Past Accepting new patients

Locations

2001 Dallavo Dr
Ste 102
Commerce Township, MI 48390
Phone (847) 210-2500

14255 Stark Rd
Livonia, MI 48154
Phone (734) 245-9595

22573 Hall Rd
Macomb, MI 48042
Phone (586) 231-0043

23211 21 Mile Rd
Macomb, MI 48042
Phone (586) 231-0043

765 S Lapeer Rd
Oxford, MI 48371
Phone (248) 236-0035

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

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, 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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1902519267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DALLAVO DR STE 102",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901653",
            "telephone_number": "947-210-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.