| Tessa Diaz, DPT | |
|
15400 Northline Rd, Southgate, MI 48195-2689 | |
| (734) 285-0100 | |
| (734) 285-0101 |
| Full Name | Tessa Diaz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 15400 Northline Rd, Southgate, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720857253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501303164 (Michigan) | Primary |
| Provider Name | Team Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Tessa Diaz, DPT 24454 Boston St, Dearborn, MI 48124-4408 Ph: (734) 329-4502 | Tessa Diaz, DPT 15400 Northline Rd, Southgate, MI 48195-2689 Ph: (734) 285-0100 |
Step Up Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15750 Northline Rd Ste B, Southgate, MI 48195 Phone: 734-357-0505 Fax: 734-357-0506 | |
Janessa H Hughes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15400 Northline Rd, Southgate, MI 48195 Phone: 734-285-0100 Fax: 734-285-0101 | |
Jaime Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15400 Northline Rd, Southgate, MI 48195 Phone: 734-285-0100 Fax: 734-285-0101 | |
Mrs. Ananthi Johnson, DPT, COMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13245 Northline Rd, Southgate, MI 48195 Phone: 734-246-2130 Fax: 734-246-8371 | |
Mrs. Debra Joann Kaminski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16701 Kennebec St, Southgate, MI 48195 Phone: 734-284-4499 | |
Joecamar Natuel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16125 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-285-1070 Fax: 734-285-1073 | |
Abighail Micah Hernandez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15400 Trenton Rd, Southgate, MI 48195 Phone: 734-284-4620 |