Individual provider Active NPI

Stefanie Lynn Marzinski

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1194129361
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016772 Issued in MI
Practice address
416 South Creyts Road Suite B
Lansing, MI 48917-8290
Phone
(517) 327-0966
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016772 MI Primary

Addresses

Primary practice location

416 South Creyts Road Suite B
Lansing, MI 48917-8290

Mailing address

416 South Creyts Road Suite B
Lansing, MI 48917-8290
Phone (517) 327-0966

Other names 1

  • Stefanie Lynn Ackerman Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016772MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Improvement Center PC CurrentSince Sep 30, 2015 Accepting new patients

Locations

416 S Creyts Rd
Ste B
Lansing, MI 48917
Phone (517) 327-0966

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1194129361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SOUTH CREYTS ROAD SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-327-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SOUTH CREYTS ROAD SUITE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-327-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZINSKI",
        "first_name": "STEFANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "ACKERMAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.