Jill Marie Hrabinsky, PT
Individual provider Active NPI Physical Therapist · Calumet, MI
NPI 1174604243 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1174604243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501006289 (MI)
- Practice address
- 56901 S 6TH St
Suite 4
Calumet, MI 49913-2946 - Phone
- (906) 337-1100
- Fax
- (906) 337-3869
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
56611 Calumet Ave
Calumet, MI 49913-1900
Phone (906) 337-1100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040612000564 | MI | Practitioner - Physical Therapist in Private Practice | 2668454216 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501006289 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Mechanix Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Body Mechanix Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
56901 S 6th St
Ste 7A
Calumet, MI 49913
Phone (906) 337-1100
56611 Calumet Ave
Calumet, MI 49913
Phone (906) 337-1100
56901 S 6th St
Ste 4
Calumet, MI 49913
Phone (906) 337-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006289 | MI | Yes |
Addresses
Primary practice location
56901 S 6TH St
Suite 4
Calumet, MI 49913-2946
Mailing address
49253 Hwy M26
Hancock, MI 49930
Phone (906) 483-0798
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650C157010 | Other | MI | BLUE CROSS BLUE SHIELD |
| DD6320 | Other | RAILROAD MEDICARE | |
| 10 4565600 | Medicaid | MI |
Other names
- Miss Jill Marie Takle
Other providers in Calumet, MI
- Michael Arthur Gaunt
- Marcus Gloss
- Jamie Alea Goff
- Cassie Ember Harris-Berryman
- Kelly Heikkinen
- Jennifer Lynn Huls
- Andrew R Kalcich
- Jill Kalcich
- Charles Kemppainen
- Kelly L Kesti
All providers in Calumet, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.