MARY THERESE HYDORN (NPI# 1639381478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639381478 |
| Entity Type | Individual |
| Full Name | MARY THERESE HYDORN |
| Credential | PT |
| Practice Address |
2636 S Milford Rd Highland MI 48357-4938 |
| Practice Telephone | 2486849610 |
| Practice Fax Number | 2486849610 |
| Mailing Telephone | 2486849610 |
| Mailing Fax Number | 2486849610 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5501003381 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2636 S MILFORD RD |
| City | HIGHLAND |
| State | MI |
| Zip Code | 48357-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467559740 | Kids In Motion Pediatric Therapy Services Ltd. | Clinic/Center | 2636 S Milford Rd, Highland, MI 48357-4938 | 2006-09-20 |
| 1255965133 | Karen Coden | Speech-Language Pathologist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2020-02-28 |
| 1992339873 | Let's Chat, LLC | Clinic/Center | 2636 S Milford Rd, Highland, MI 48357-4938 | 2020-02-28 |
| 1619514916 | Lisa Marie Lobbestael | Physical Therapy Assistant | 2636 S Milford Rd, Highland, MI 48357-4938 | 2019-12-05 |
| 1558912618 | Eryn Margaret Schafer | Occupational Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2019-09-20 |
| 1093284663 | Kathryn Danielle Lafrinere | Occupational Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2018-11-13 |
| 1508359365 | Sarah Fielder | Speech-Language Pathologist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2018-06-07 |
| 1548786684 | Kristen Rogner | Occupational Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2017-08-21 |
| 1114459591 | Shannon Cook | Speech-Language Pathologist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2017-04-03 |
| 1275085268 | Ashley Witte | Occupational Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2016-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837328 | Insightful, P.C. | Psychologist | 141 N Milford Rd, Suite 103, Highland, MI 48357 | 2018-10-19 |
| 1932569522 | Debra Marie Minton | Social Worker | 1025 E. Forest, Detroit, MI 48357 | 2016-02-25 |
| 1235594565 | Marie Asako Catenacci | Social Worker | 1050 South Milford Road, Suite 205, Highland, MI 48357 | 2015-12-31 |
| 1063802114 | Kids In Motion | Respite Care | 2636 S. Milford Road, Highland, MI 48357 | 2015-01-28 |
| 1295084416 | Fran Roth | Physical Therapist | 2636 S. Milford Rd., Highland, MI 48357 | 2012-09-04 |
| 1508033549 | Partners In Life | Home Health | 576 Baker Street, Highland, MI 48357 | 2008-05-09 |
| 1538290762 | Bruce Wihongi | Physical Therapist | 2330 S Milford Rd Suite 108, Highland, MI 48357 | 2007-03-08 |
| 1629117353 | Painless Dentistry Plc | Dentist | 2287 S Milford Rd, Highland, MI 48357 | 2007-02-06 |
| 1508955675 | Irving D Kernis | Pediatrics | 2632 S. Milford Rd, Huron Valley Pediatrics, P.C., Highland, MI 48357 | 2006-10-12 |
| 1093130239 | Michael Roberts | Physical Therapist | 2330 S Milford Rd Suite 108, Highland, MI 48357 | 2014-02-25 |
| Find all providers in zip 48357 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295084416 | Fran Roth | Physical Therapist | 2636 S. Milford Rd., Highland, MI 48357 | 2012-09-04 |
| 1114933736 | Karla Sue Brockman | Physical Therapist | 11315 Lake Rd, Highland, IL 62249-4023 | 2006-08-01 |
| 1619382710 | Jenna C Poulter | Physical Therapist | 2906 Highway Ave, Highland, IN 46322-1631 | 2014-06-26 |
| 1487807525 | Kathy Jean Birchall | Physical Therapist | 40 Park Ln, Highland, NY 12528-2824 | 2008-11-03 |
| 1700090628 | Kathryn A Kelm | Physical Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2007-05-09 |
| 1720109804 | Teresa J Pesci | Physical Therapist | 2636 S Milford Rd, Highland, MI 48357-4938 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668759 | Michele Lynn Avery | Physical Therapist | 15959 Hall Rd Ste 203, Macomb, MI 48044-5366 | 2020-01-23 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1396247193 | Amy Lynn Casedy | Physical Therapist | 400 E Eisenhower Pkwy Ste A, Ann Arbor, MI 48108-3302 | 2018-03-07 |
| 1588166987 | Christopher Tapley | Physical Therapist | 1540 E Hospital Dr Spc 4236, Ann Arbor, MI 48109-4236 | 2018-03-02 |
| 1639679343 | Jessica Pizzo | Physical Therapist | 15959 Hall Rd Ste 410, Macomb, MI 48044-5365 | 2018-02-19 |
| 1316310402 | Kelsey Michals | Physical Therapist | 42864 Ashbury Dr, Novi, MI 48375-4725 | 2015-11-11 |
| 1093103020 | Maria Margaret Dobbertien | Physical Therapist | 777 Goguac St W Ste B2, Battle Creek, MI 49015-2097 | 2014-12-29 |
| 1316386105 | Sarah Margaret Cardy Goncalves | Physical Therapist | 2672 S. Rochester Rd., Rochester Hills, MI 48307 | 2013-06-14 |
| 1144567520 | Kirsten Etka Hallstrom | Physical Therapist | 1459 Coventry Square Dr, Ann Arbor, MI 48103-6314 | 2013-01-06 |
| 1609112671 | Stacy Lynn Zousmer | Physical Therapist | 4266 Strathdale Ln, West Bloomfield, MI 48323-3143 | 2012-12-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.