Michael T Radomski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010306 Issued in MI

Practice address

17272 Robbins Rd
Suite 102
Grand Haven, MI 49417

Phone

(616) 256-8670

Fax

(248) 373-7443

NPI assigned

Apr 17, 2008

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Male

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulst Jepsen Physical Therapy IncGroup PAC ID 8325033285, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hulst Jepsen Physical Therapy Inc

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1609957760
  Medicare reassignment Care Compare group NPD
• American Headache Institute LLC

  • Physical Therapy Clinic/Center
  • Rochester Hills, MI
  • NPI 1699070250

  Physical Therapist

  NPD (past)
• Healthquest Physical Therapy and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1336344068

  Physical Therapist

  NPD (past)
• KKS of Michigan LLC

  dba Healthquest Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Orion, MI
  • NPI 1225233273
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1194999441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 5300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48909",
            "telephone_number": "248-373-7600",
            "fax_number": "248-373-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 ROBBINS RD",
            "address_2": "SUITE 102",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-256-8670",
            "fax_number": "248-373-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMSKI",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qualls & Associates PLLC
• Daniel V Qualls, MA LPC
• Kaitlyn Quick
• Raymond P Rabideau, D.O.
• Kathryn Rabine, PA-C
• Luke David Ragon, MD
• Lauren Elizabeth Ramer- Morley, DPT
• Kacey Rae Ramones
• Andrew Rasmussen
• Jacob Rasmussen

• Physical Therapist in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.