Active NPI
Karen Lynn Dillon, PT
- Orthopedic Physical Therapist
- Rochester Hills, MI
National Provider Identifier
1982045548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5501003273
- Practice address
- 1135 W University Dr Ste 450
Rochester Hills, MI 48307-1871 - Phone
- (248) 659-0196
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5501003273 | MI | Primary |
Addresses
Primary practice location
1135 W University Dr Ste 450
Rochester Hills, MI 48307-1871
Mailing address
P.O. Box 9042
Belfast, ME 04915
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982045548 | Medicaid | MI | |
| 0H70750 | Other | MI | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1982045548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 9042",
"city": "BELFAST",
"state": "ME",
"postal_code": "04915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR STE 450",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-659-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5501003273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982045548",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0H70750",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.