Active NPI
Timothy John Tersigni, D.C.
- Chiropractor
- Fowlerville, MI
National Provider Identifier
1982671012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008012
- Practice address
- 746 S Grand St
Fowlerville, MI 48836-8901 - Phone
- (517) 223-9276
- Fax
- (517) 223-9278
- NPI assigned
- Mar 7, 2006
- Last updated
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 2301008012 | MI | |
| Nutrition Chiropractor | 111NN1001X | 2301008012 | MI | |
| Radiology Chiropractor | 111NR0200X | 2301008012 | MI | |
| Chiropractor | 111N00000X | 2301008012 | MI | Primary |
Addresses
Primary practice location
746 S Grand St
Fowlerville, MI 48836-8901
Mailing address
PO Box 1126
Fowlerville, MI 48836-1126
Phone (517) 223-9276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060412000108 | MI | Practitioner - Chiropractic | 3577572015 | Practice locations: Fowlerville, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
746 S Grand Ave
Fowlerville, MI 48836-8901
Phone (517) 223-9276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008012 | MI | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Center of Fowlerville | Neurology | Current | Accepting new patients |
| Fowlerville Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
103 W Grand River Ave
Fowlerville, MI 48836
Phone (517) 230-1751
Organizations & group practices 2
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.
-
- Neurology Chiropractor
- Fowlerville, MI
- NPI 1891630109
-
- Chiropractor
- Fowlerville, MI
- NPI 1598834962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1982671012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1126",
"city": "FOWLERVILLE",
"state": "MI",
"postal_code": "488361126",
"telephone_number": "517-223-9276",
"fax_number": "517-223-9278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 S GRAND ST",
"city": "FOWLERVILLE",
"state": "MI",
"postal_code": "488368901",
"telephone_number": "517-223-9276",
"fax_number": "517-223-9278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERSIGNI",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "MI",
"license": "2301008012",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MI",
"license": "2301008012",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "MI",
"license": "2301008012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fowlerville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.