Individual provider Active NPI

Julie Renee Pieciak

  • Occupational Therapist
  • Waterford, MI
National Provider Identifier
1023612926
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201011058 Issued in MI
Practice address
5798 Highland Rd
Waterford, MI 48327-1826
Phone
(248) 724-4400
Fax
(248) 724-4405
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201011058 MI Primary

Addresses

Primary practice location

5798 Highland Rd
Waterford, MI 48327-1826

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105002626 MI Practitioner - Occupational Therapist in Private Practice 5597178889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians

Practice addresses (Care Compare)

425 N Park Blvd
100 Ati Physical Therapy
Lake Orion, MI 48362-3189
Phone (248) 693-6835

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Occupational Therapist CurrentSince Nov 30, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Nov 30, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

4950 S Baldwin Rd
Lake Orion, MI 48359
Phone (248) 409-0576

425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835

2672 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 289-1785

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

1949 W Maple Rd
Troy, MI 48084
Phone (248) 268-5497

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1023612926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271826",
            "telephone_number": "248-724-4400",
            "fax_number": "248-724-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECIAK",
        "first_name": "JULIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.

Verify at the official NPI Registry.