Brian D. Vasicek, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010687 Issued in MI

Practice address

743 S Bywood Ave
Clawson, MI 48017-1851

Phone

(248) 709-7336

NPI assigned

Feb 4, 2011

Sex

Male

Sole proprietor

Yes

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Manual Physical Therapy and Performance PLLCGroup PAC ID 1153719729, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Foundation Manual Physical Therapy and Performance PLLC

  • Physical Therapy Clinic/Center
  • Royal Oak, MI
  • NPI 1790453322

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Brian Vasicek DPT PLLC

  • Physical Therapy Clinic/Center
  • Clawson, MI
  • NPI 1831702414
  NPD Authorized official
• Kinetic Rehabilitation Inc.

  • Rehabilitation Clinic/Center
  • South Lyon, MI
  • NPI 1235670373
  NPD (past)
• Plymouth Physical Therapy Specialists Limited Partnership

  • Physical Therapist
  • Livonia, MI
  • NPI 1689691388
  NPD (past)
• Spine and Extremity Institute of South Lyon, L.L.C.

  • Physical Therapist
  • South Lyon, MI
  • NPI 1811209968
  NPD (past)

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1265738447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 S BYWOOD AVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 S BYWOOD AVE",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171851",
            "telephone_number": "248-709-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASICEK",
        "first_name": "BRIAN",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trusted Care at Home, Inc.
• Faris B Twal, PHARMD
• Bryan Underwood, MS
• Fenny Vajani
• Jack Warren Vandahm, PHARMD
• Jeanne M Ward, AUD
• Maria Ross Warr, RDH
• We Rock Care
• We Rock Care
• Billi Webb, RDH

• Physical Therapist in Clawson, MI
• Providers in Clawson, 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 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.