Organization Active NPI

Saginaw PT and Wellness LLC

  • Physical Therapist
  • Saginaw, MI
National Provider Identifier
1235406471
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008812 Issued in MI
Legal business name
SAGINAW PT AND WELLNESS LLC
Practice address
5061 State St
Saginaw, MI 48603-3709
Phone
(989) 249-7848
Fax
(989) 249-5363
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mr. Daniel L Lewandowski, COO
Title
Coo
Phone
(989) 249-7848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501008812 MI Primary

Addresses

Primary practice location

5061 State St
Saginaw, MI 48603-3709

Mailing address

5061 State St
Saginaw, MI 48603-3709
Phone (989) 249-7848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000115 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729240171 Receives reassigned benefits from 1 practitioner
Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

1430 N Center Rd
Ste 2
Saginaw, MI 48638
Phone (989) 249-7848

5061 State St
Saginaw, MI 48603
Phone (989) 249-7848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1235406471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033709",
            "telephone_number": "989-249-7848",
            "fax_number": "989-249-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033709",
            "telephone_number": "989-249-7848",
            "fax_number": "989-249-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW PT AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-249-7848",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.