Individual provider Active NPI

Danny Michael Dorzok, CTRS

  • Recreation Therapist
  • Saginaw, MI
National Provider Identifier
1013477215
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
64798 Issued in WI
Practice address
1500 Weiss St
Saginaw, MI 48602-5251
Phone
(989) 497-2500
Fax
(989) 321-4948
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 64798 WI Primary

Addresses

Primary practice location

1500 Weiss St
Saginaw, MI 48602-5251

Mailing address

1500 Weiss St
Saginaw, MI 48602-5251
Phone (989) 497-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Danny.Dorzok@va.gov

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64798WIMDPulmonary Disease Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1013477215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025251",
            "telephone_number": "989-497-2500",
            "fax_number": "989-321-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025251",
            "telephone_number": "989-497-2500",
            "fax_number": "989-321-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORZOK",
        "first_name": "DANNY",
        "middle_name": "MICHAEL",
        "credential": "CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "WI",
            "license": "64798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Danny.Dorzok@va.gov",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1500 Weiss St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.