Active NPI
Shelby Antoinette Frolek, DPT
- Orthopedic Physical Therapist
- Livonia, MI
National Provider Identifier
1366084030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 5501019263
- Practice address
- 36622 Five Mile Rd Ste 102
Livonia, MI 48154-1900 - Phone
- (734) 542-9770
- Fax
- (734) 542-9790
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 5501019263 | MI | Primary |
Addresses
Primary practice location
36622 Five Mile Rd Ste 102
Livonia, MI 48154-1900
Mailing address
27472 Schoenherr Rd Ste 130
Warren, MI 48088-6675
Phone (586) 439-6243
Other names 1
- Shelby Antoinette Gusfa
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3097 29TH St SE
Suite B
Grand Rapids, MI 49512-1726
Phone (616) 741-2232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golan Integrated Physical Medicine | Current | Accepting new patients | |
| Golan Integrated Physical Medicine | Current | Accepting new patients |
Locations
3097 29th St SE
Ste B
Grand Rapids, MI 49512
Phone (616) 741-2232
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1316419260
-
- Durable Medical Equipment & Medical Supplies
- Grand Rapids, MI
- NPI 1952019820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1366084030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27472 SCHOENHERR RD STE 130",
"city": "WARREN",
"state": "MI",
"postal_code": "480886675",
"telephone_number": "586-439-6243",
"fax_number": "586-439-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36622 FIVE MILE RD STE 102",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541900",
"telephone_number": "734-542-9770",
"fax_number": "734-542-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROLEK",
"first_name": "SHELBY",
"middle_name": "ANTOINETTE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MI",
"license": "5501019263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "GUSFA",
"middle_name": "ANTOINETTE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.