MRS. MICHELLE LOUISE THIBODEAU (NPI# 1891297404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891297404 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE LOUISE THIBODEAU |
| Credential | PT |
| Practice Address |
39450 W 12 Mile Rd Novi MI 48377-3600 |
| Mailing Address |
39450 Novi Rd Novi MI 48377 |
| Practice Telephone | 2483442300 |
| Practice Fax Number | 2483442301 |
| Mailing Telephone | 2483442300 |
| Mailing Fax Number | 2483442301 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501009600 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
39450 W 12 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801994512 | Heather Heilman | Social Worker | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2006-09-20 |
| 1750926846 | Bryce Alexander Groshek | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-11-12 |
| 1962975268 | Kelly Nohl | Dietitian, Registered | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-01-09 |
| 1285121376 | Michele A Zubalik | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-04-16 |
| 1295230944 | Rebecca Lynn Knodel | Occupational Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-26 |
| 1275036709 | David Tomsich | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
| 1760985170 | Ashley Nebel | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
| 1750883104 | Melissa Joy Simon | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-01 |
| 1609384569 | Alexandrina Berghian | Nurse Practitioner | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-01-12 |
| 1295103018 | Nagham Karana | Pharmacist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2015-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629324 | Caitlin Nora Noble | Physical Therapist | 46001 Grand River Ave Ste A, Novi, MI 48374-1319 | 2017-10-02 |
| 1730512666 | Nancy Houze | Physical Therapist | 39450 W 12 Mile Rd Ste 1a, Novi, MI 48377-3600 | 2013-08-14 |
| 1174025787 | Kristine Langley | Physical Therapist | 39450 W 12 Mile Rd Ste 1a, Novi, MI 48377-3600 | 2018-02-28 |
| 1700388311 | Kyle Elizabeth Dorcey | Physical Therapist | 39450 W 12 Mile Rd Ste 1a, Novi, MI 48377-3600 | 2018-02-28 |
| 1992165344 | Casey Masek | Physical Therapist | 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 | 2016-02-28 |
| 1477955953 | Nathan Callahan | Physical Therapist | 46001 Grand River Ave, Novi, MI 48374-1319 | 2014-09-16 |
| 1255765418 | Hannah M. Depaul | Physical Therapist | 46001 Grand River Ave, Suite A, Novi, MI 48374-1319 | 2013-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
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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.