Stephen Douglas Macko, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

L1392730 Issued in MI

Practice address

7105 Allen Rd Ste B
Allen Park, MI 48101-2009

Phone

(313) 388-2853

NPI assigned

Jan 25, 2009

Last updated

Jan 25, 2009By 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

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.

• Nucare Therapy, LLC

  • Physical Therapist
  • Dearborn, MI
  • NPI 1508371493
  NPD
• Integrated Health Group, P.C.

  dba Michigan Institute of Pain Management

  • Pain Clinic/Center
  • Dearborn Heights, MI
  • NPI 1508808817
  NPD (past)
• Professional Physical Therapy Clinic Inc

  • Physical Therapist
  • Dearborn, MI
  • NPI 1659384626
  NPD (past)

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232841600000",
    "number": "1205074564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 MARSHFIELD ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202346",
            "telephone_number": "313-399-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 ALLEN RD STE B",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012009",
            "telephone_number": "313-388-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKO",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "L1392730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love Knot Medical Center,LLC
• Valeri Love-Slater
• Loving Help at Home
• Linsey Lozon, NP
• M. Redwan Kubaisi MD PC
• Amber Madurski
• Talal Maisari
• Brandie Marie Manni, PA-C
• Hussein Mansour
• Lama Mansour

• Physical Therapist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.