Active NPI
Lance Thaddeus Wozniak, P.T., D.P.T.
- Physical Therapist
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011569
- Practice address
- 24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345 - Phone
- (248) 988-8085
- Fax
- (248) 988-8565
- NPI assigned
- Jan 18, 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 | 5501011569 | MI | Primary |
Addresses
Primary practice location
24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164574935 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12787 S Saginaw St
4 Ati Physical Therapy
Grand Blanc, MI 48439-1830
Phone (810) 771-7631
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011569 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Oakland Orthopedic Partners PC | Past | Accepting new patients | |
| Empower Physical Therapy and Fitness | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
7164 N Main St
Clarkston, MI 48346
Phone (248) 625-6400
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
1429 Flushing Rd
#A
Flushing, MI 48433
Phone (810) 487-9128
12787 S Saginaw St
Ste C4
Grand Blanc, MI 48439
Phone (810) 771-7631
15201 N Holly Rd
Ste B
Holly, MI 48442
Phone (248) 531-0002
Interoperability endpoints
- https://api.platform.athenahealth.com/14148/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
-
- Physical Therapy Assistant
- Clinton Township, MI
- NPI 1083019277
-
- Orthopaedic Surgery Physician
- Pontiac, MI
- NPI 1710956222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1164574935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24255 W 13 MILE RD STE 100",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254345",
"telephone_number": "248-988-8085",
"fax_number": "248-988-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "LANCE",
"middle_name": "THADDEUS",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164574935",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.