Lichelle Anne Genshow, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016015 Issued in MI

Practice address

52401 Ashley St
New Baltimore, MI 48047-3233

Phone

(586) 436-3900

NPI assigned

Aug 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CKS of Mt Clemens LLCGroup PAC ID 0446321038, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.73 of 100Reported as group

Quality

81.02

Improvement activities

40

Cost

53.9

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CKS of Mt Clemens LLC

  • Physical Therapy Clinic/Center
  • Mount Clemens, MI
  • NPI 1619172673

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1184973570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52401 ASHLEY ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473233",
            "telephone_number": "586-436-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSHOW",
        "first_name": "LICHELLE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Towers Investment Inc.
• Debra Lynn Francisco, L.M.S.W.
• Dana Kang Freeman, D.D.S.
• Shawn Friday, L.L.P.C
• Scott Garrant, D.D.S.
• Gentle Dental Bay PLLC
• Genuine Care, Inc.
• Gary Lloyd Glesser, D.D.S.
• Kaylee Jayde Glew, LMSW
• Harry Godlewski Jr., R.PH.

• Physical Therapist in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.