Individual provider Active NPI

Paul Steven Czarnecki, PT

  • Physical Therapist
  • Grand Blanc, MI
National Provider Identifier
1346351343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005366 Issued in MI
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
30610OtherMIBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000779 MI Practitioner - Physical Therapist in Private Practice 3072795657 Reassigns benefits to 3 organizations

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
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

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

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys Current Accepting new patients
Part B LLC Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
Henry Ford Medical Group Genesys Physical Therapist CurrentSince Jan 1, 2019 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.

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.

Verify at the official NPI Registry.