Emily Gozdzialski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008021 Issued in MI

Practice address

15520 19 Mile Rd
Clinton TWP, MI 48038-6333

Phone

(586) 416-2000

Fax

(586) 416-2013

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Hepinstall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1043945249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386333",
            "telephone_number": "586-416-2000",
            "fax_number": "586-416-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZDZIALSKI",
        "first_name": "EMILY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HEPINSTALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Glomstead, RD
• Mark L Goldberger, DO
• Kayla Lynn Goldin, B.S.
• Christopher Michael Goodpaster
• Sheena Marie Gorecki, PH.D.
• Paul Richard Gradolph
• Scott Thomas Graham, D.D.S.
• Tiffini Lynn Graham, MA CCC-SLP
• Claire Grawburg, PHARMD
• Kristen L Gray, LMT

• Physical Therapy Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.