Active NPI
Andrew Thomas Schack, PT
- Physical Therapist
- Lapeer, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012573
- Practice address
- 1794 N Lapeer Rd
Suite C
Lapeer, MI 48446-7664 - Phone
- (810) 664-3000
- Fax
- (810) 664-9775
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 5501012573 | MI | Primary |
Addresses
Primary practice location
1794 N Lapeer Rd
Suite C
Lapeer, MI 48446-7664
Mailing address
1794 N Lapeer Rd
Suite C
Lapeer, MI 48446-7664
Phone (810) 664-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000242 | MI | Practitioner - Physical Therapist in Private Practice | 6103087093 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Plymouth Physical Therapy Specialists Limited Partnership
Practice addresses (Care Compare)
1808 S Cedar St
Imlay City, MI 48444-9779
Phone (810) 724-0421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012573 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Thibodeau Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Thibodeau Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
49650 Cherry Hill Rd
Ste 230
Canton, MI 48187
Phone (734) 495-3725
4128 E Grand River Ave
Howell, MI 48843
Phone (517) 540-1060
1808 S Cedar St
Imlay City, MI 48444
Phone (810) 721-0421
1794 N Lapeer Rd
Ste C
Lapeer, MI 48446
Phone (810) 664-3000
39885 Grand River Ave
Ste 300
Novi, MI 48375
Phone (248) 615-0282
9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900
Organizations & group practices 3
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.
-
- Physical Therapist
- Northville, MI
- NPI 1174626329
MI, Physical Therapist
-
- Physical Therapy Clinic/Center
- Imlay City, MI
- NPI 1093892259
Physical Therapist
-
- Physical Therapy Clinic/Center
- Lapeer, MI
- NPI 1508943853
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1083804272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1794 N LAPEER RD",
"address_2": "SUITE C",
"city": "LAPEER",
"state": "MI",
"postal_code": "484467664",
"telephone_number": "810-664-3000",
"fax_number": "810-664-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1794 N LAPEER RD",
"address_2": "SUITE C",
"city": "LAPEER",
"state": "MI",
"postal_code": "484467664",
"telephone_number": "810-664-3000",
"fax_number": "810-664-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHACK",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.