Active NPI
Paul Steven Czarnecki, PT
- Physical Therapist
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005366
- Practice address
- 861 Health Park Blvd
Grand Blanc, MI 48439-7383 - Phone
- (810) 953-0095
- Fax
- (810) 953-0031
- NPI assigned
- Aug 31, 2006
- 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 | 5501005366 | MI | Primary |
Addresses
Primary practice location
861 Health Park Blvd
Grand Blanc, MI 48439-7383
Mailing address
2050 S Linden Rd
Ste 304
Flint, MI 48532-4161
Phone (810) 733-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610 | Other | MI | BLUE CROSS |
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, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1096 S Belsay Rd
Suite G
Burton, MI 48509-1948
Phone (810) 743-1611
671 E Big Beaver Rd
Suite 207
Troy, MI 48083-1422
Phone (586) 461-2090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Part B LLC | Physical Therapist | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Physical Therapist | Current | Accepting new patients |
| Greater Flint Sports Medicine Center PC | Physical Therapist | Past | Accepting new patients |
Locations
1096 S Belsay Rd
Ste G
Flint, MI 48509
Phone (810) 743-1611
3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
861 Health Park Blvd
Grand Blanc, MI 48439
Phone (810) 953-0095
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
671 E Big Beaver Rd
Ste 207
Troy, MI 48083
Phone (586) 224-9354
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
-
- Physical Therapist
- Burton, MI
- NPI 1720959661
-
- Physical Therapy Clinic/Center
- Fort Gratiot, MI
- NPI 1316314149
-
- Physical Therapist
- Burton, MI
- NPI 1114495793
-
- Physical Therapist
- Troy, MI
- NPI 1285395962
-
- Orthopaedic Surgery Physician
- Grand Blanc, MI
- NPI 1265459150
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346351343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 S LINDEN RD",
"address_2": "STE 304",
"city": "FLINT",
"state": "MI",
"postal_code": "485324161",
"telephone_number": "810-733-8222",
"fax_number": "810-733-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 HEALTH PARK BLVD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397383",
"telephone_number": "810-953-0095",
"fax_number": "810-953-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZARNECKI",
"first_name": "PAUL",
"middle_name": "STEVEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30610",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.