Melissa Susan Radlowski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012516 Issued in MI

Practice address

5757 Whitmore Lake Rd
Ste 900
Brighton, MI 48116

Phone

(810) 220-5793

Fax

(810) 220-5805

NPI assigned

Mar 18, 2006

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1205895356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597022",
            "fax_number": "810-220-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WHITMORE LAKE RD",
            "address_2": "STE 900",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48116",
            "telephone_number": "810-220-5793",
            "fax_number": "810-220-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLOWSKI",
        "first_name": "MELISSA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "RT470004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30644",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Pyatenko, D.D.S.
• Bashar Shabb Qalieh, M.D.
• Kelly Marie Rad, LMSW
• Nikki Ann Radford, RN
• Larysa Maria Radlowski, MD
• Dana L Radtke, DDS
• Kimberly Radwanski
• Lisa Ragusa, PT
• Hannah Raj, MD
• Kapilan Sri Rajagopalan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.