Active NPI
Adrienne Marie Dusky, PT, DPT
- Physical Therapist
- Grosse Pointe, MI
National Provider Identifier
1083171441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019045
- Practice address
- 468 Cadieux Rd
Grosse Pointe, MI 48230-1507 - Phone
- (313) 473-1629
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019045 | MI | Primary |
Addresses
Primary practice location
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Mailing address
1335 E Elza Ave
Hazel Park, MI 48030-2356
Phone (248) 915-0220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019045 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1083171441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 E ELZA AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480302356",
"telephone_number": "248-915-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 CADIEUX RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301507",
"telephone_number": "313-473-1629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSKY",
"first_name": "ADRIENNE",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.