Elizabeth Modrzynski, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004542 Issued in MI

Practice address

301 Long Rapids Rd
Alpena, MI 49707-1317

Phone

(989) 356-2194

Fax

(989) 358-2145

NPI assigned

Jun 16, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1366823296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071317",
            "telephone_number": "989-356-2194",
            "fax_number": "989-358-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071317",
            "telephone_number": "989-356-2194",
            "fax_number": "989-358-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODRZYNSKI",
        "first_name": "ELIZABETH",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Mischloney, RN
• Ashley Ann Misiak, RN
• Keith Allan Misiak
• Mitelecare LLC
• Paul Moceri, MA
• Katelynn Moffatt, LMSW
• Abdullahi A Mohamed, M.D.
• Kyle Jay Mokma, BCBA
• Brydie Moldenhauer
• Keith J. Moody, D.O

• Physical Therapy Assistant in Alpena, MI
• Providers in Alpena, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.