Active NPI
John Czarnecki
- Physical Therapist
- West Bloomfield, MI
National Provider Identifier
1245458041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004042
- Practice address
- 6020 W Maple Rd
Suite 500
West Bloomfield, MI 48322-4409 - Phone
- (248) 851-6999
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501004042 | MI | Primary |
Addresses
Primary practice location
6020 W Maple Rd
Suite 500
West Bloomfield, MI 48322-4409
Mailing address
6020 W Maple Rd
Suite 500
West Bloomfield, MI 48322-4409
Phone (248) 851-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501004042 | Other | MI | PT LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Training Room Professional Athletic Services, LLC | Physical Therapist | Past | Accepting new patients |
| Devinney Czarnecki Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| The Training Room of Trenton LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- West Bloomfield, MI
- NPI 1972672418
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- Physical Therapist
- Trenton, MI
- NPI 1851459085
-
- Physical Therapist
- Troy, MI
- NPI 1295801892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1245458041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 W MAPLE RD",
"address_2": "SUITE 500",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224409",
"telephone_number": "248-851-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W MAPLE RD",
"address_2": "SUITE 500",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483224409",
"telephone_number": "248-851-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZARNECKI",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE #",
"identifier": "5501004042",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.