Physiolab Physical Therapy and Recovery LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSIOLAB PHYSICAL THERAPY AND RECOVERY LLC

Practice address

8019 Agnes St
Detroit, MI 48214-2618

Phone

(248) 797-9359

Fax

(248) 479-0349

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Samantha Wenson Zinnecker, DPTNPI 1013435643

Title

Owner/Physical Therapist

Phone

(248) 797-9359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Wenson Zinnecker

  • Orthopedic Physical Therapist
  • Detroit, MI
  • NPI 1013435643
  Medicare reassignment Care Compare group NPD Authorized official
• Alissa Kay Davies, PT, DPT, OCS, ATC/L

  • Physical Therapist
  • Bloomfield Hills, MI
  • NPI 1790740751
  Medicare reassignment Care Compare group NPD
• Vincent Dong, DPT

  • Physical Therapist
  • Novi, MI
  • NPI 1134948136
  Medicare reassignment NPD
• Carter Kovalcik, PT

  • Physical Therapist
  • Macomb, MI
  • NPI 1659024974
  Medicare reassignment NPD
• Vasudevan Suryakumar, P.T.

  • Physical Therapist
  • Canton, MI
  • NPI 1598784712
  Medicare reassignment NPD
• Alexandra Woytych

  • Occupational Therapist
  • Detroit, MI
  • NPI 1235994369
  Medicare reassignment NPD
• Angelina Najjar

  • Physical Therapist
  • Southfield, MI
  • NPI 1497554315
  Medicare reassignment

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1205538816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25547 RIDGEWOOD DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361058",
            "telephone_number": "248-797-9359",
            "fax_number": "248-479-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 AGNES ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482142618",
            "telephone_number": "248-797-9359",
            "fax_number": "248-479-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOLAB PHYSICAL THERAPY AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "ZINNECKER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "WENSON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-797-9359",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monika Piatek, M.D.
• Alexandra Marie Picardal, MD
• Caitlyn Pichette

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.