Aaron Joseph Jackowski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018302 Issued in MI

Practice address

1806 E Parkdale Ave Ste 1
Manistee, MI 49660-9364

Phone

(231) 723-5479

Fax

(231) 723-3586

NPI assigned

Aug 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Aaron Josheph Jackowski Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy IncGroup PAC ID 8628986643, 11 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.

• Dynamic Physical Therapy Inc

  • Physical Therapist
  • Cadillac, MI
  • NPI 1609874288
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1285151589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9166 MARION DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481169177",
            "telephone_number": "231-878-1595",
            "fax_number": "231-876-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 E PARKDALE AVE STE 1",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609364",
            "telephone_number": "231-723-5479",
            "fax_number": "231-723-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOWSKI",
        "first_name": "AARON",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARON",
            "last_name": "JACKOWSKI",
            "middle_name": "JOSHEPH",
            "prefix": "MR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Huggard
• Melissa Ann Huttenga, RDH
• Edward Paul Hybza, D.C.
• Indigo Hospital Medicine - Manistee, PLC
• Chrissy Iverson
• Keith Jacque, RPH
• James Christopher Buswinka DO PLC
• Connie Jankwietz
• Grace A Jankwietz
• Carl Jaskiw

• Physical Therapist in Manistee, MI
• Providers in Manistee, 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 28, 2017; 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.