Kelly Lauren Cvetkovski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019349 Issued in MI

Practice address

3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406

Phone

(734) 407-2500

Fax

(313) 792-8962

NPI assigned

Sep 11, 2019

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Outcomes Management,LLCGroup PAC ID 1355602426, 18 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Outcomes Management,LLC

  dba ExpertCare Management Services

  • Community/Behavioral Health Agency
  • Troy, MI
  • NPI 1184139131

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD
• Wildflower Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Rochester, MI
  • NPI 1962341800
  NPD Authorized official

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1356990485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S GULLEY RD STE F",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244406",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S GULLEY RD STE F",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244406",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVETKOVSKI",
        "first_name": "KELLY",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakiyah K Curry
• Cassandra Curtis
• Keith L Curtis, MD
• Kirsten Allie Curtis
• Cristal Cushing
• Denise Cykiert, R.D
• Carol Ann Cyn-Lewis, R.PH.
• Marry Rose Sanjana Cyril-Schwartz, LMSW
• Gregory Czarnecki, GREG CZARNECKI
• Pamela Czuj, LMSW

• Physical Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.