Active NPI
Alex Pikunas, PT DPT
- Physical Therapist
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017993
- Practice address
- 3899 W Front St
Traverse City, MI 49684-8103 - Phone
- (231) 421-9277
- Fax
- (231) 421-8447
- NPI assigned
- Nov 4, 2016
- Last updated
- Nov 4, 2016
- 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 | 5501017993 | MI | Primary |
Addresses
Primary practice location
3899 W Front St
Traverse City, MI 49684-8103
Mailing address
4602 Bridlewood Dr
Traverse City, MI 49685-8247
Phone (231) 944-6541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501017993 | Other | MI | MICHIGAN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
269 N Michigan Ave
Beulah, MI 49617-9299
Phone (231) 944-4478
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pursuit Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Functional Dimensions LLC | Physical Therapist | Current | Accepting new patients |
Locations
3899 W Front St
Ste 3
Traverse City, MI 49684
Phone (231) 421-9277
515 W Fourteenth St
Unit A
Traverse City, MI 49684
Phone (231) 941-5010
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Kalkaska, MI
- NPI 1750997631
-
- Orthopedic Physical Therapist
- Traverse City, MI
- NPI 1780076232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1285176420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 BRIDLEWOOD DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496858247",
"telephone_number": "231-944-6541",
"fax_number": "231-421-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3899 W FRONT ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496848103",
"telephone_number": "231-421-9277",
"fax_number": "231-421-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKUNAS",
"first_name": "ALEX",
"name_prefix": "Mr.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE NUMBER",
"identifier": "5501017993",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.