Individual provider Active NPI

Nicole Cardella

  • Physical Therapist
  • Trenton, MI
National Provider Identifier
1053970319
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1570 Kingsway CT Ste 2
Trenton, MI 48183-1956
Phone
(734) 676-7400
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1570 Kingsway CT Ste 2
Trenton, MI 48183-1956

Mailing address

23582 Michigan Avenue
Dearborn, MI 48124

Other names 1

  • Nicole Zochowski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200208000147 MI Practitioner - Physical Therapist in Private Practice 4385070457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Toledo College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Move Physical Therapy PLLCGroup PAC ID 9133519788, 5 clinicians

Practice addresses (Care Compare)

428 S Monroe St
Suite 106
Monroe, MI 48161-2249
Phone (734) 636-0286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Move Physical Therapy PLLC Physical Therapist CurrentSince Oct 9, 2024 Accepting new patients
Benchmark Physical Therapy Michigan LLC Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

29100 Gateway Blvd
Ste 400
Flat Rock, MI 48134
Phone (734) 379-7900

715 E Main St
Midland, MI 48640
Phone (989) 374-2222

428 S Monroe St
Ste 106
Monroe, MI 48161
Phone (734) 636-0286

22315 King Rd
Woodhaven, MI 48183
Phone (734) 493-1680

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1053970319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23582 MICHIGAN AVENUE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 KINGSWAY CT STE 2",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831956",
            "telephone_number": "734-676-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDELLA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ZOCHOWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.