Individual provider Active NPI

Janice Louise Czarnecki, PT

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1295258267
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6020 W Maple Rd Ste 500
West Bloomfield, MI 48322-4409
Phone
(248) 851-6999
Fax
(248) 851-6898
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6020 W Maple Rd Ste 500
West Bloomfield, MI 48322-4409

Mailing address

17723 Maple Hill Dr
Northville, MI 48168-3236
Phone (586) 839-1444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323001799 MI Practitioner - Physical Therapist in Private Practice 2961819776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodhaven of LivoniaGroup PAC ID 0840327680, 5 clinicians

Practice addresses (Care Compare)

29667 Wentworth St
Woodhaven Retirement Community
Livonia, MI 48154-6231
Phone 7342619000105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi East, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Woodhaven of Livonia CurrentSince Apr 28, 2023 Accepting new patients
Devinney Czarnecki Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

29667 Wentworth St
Livonia, MI 48154
Phone (734) 261-9000

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

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.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1295258267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17723 MAPLE HILL DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683236",
            "telephone_number": "586-839-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W MAPLE RD STE 500",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224409",
            "telephone_number": "248-851-6999",
            "fax_number": "248-851-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARNECKI",
        "first_name": "JANICE",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 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.