Individual provider Active NPI

Robert Litzenburg, DPT

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1396203816
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019068 Issued in MI
Practice address
37699 6 Mile Rd Ste 200
Livonia, MI 48152-3994
Phone
(734) 953-4155
Fax
(734) 953-1622
NPI assigned
Mar 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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 5501019068 MI Primary

Addresses

Primary practice location

37699 6 Mile Rd Ste 200
Livonia, MI 48152-3994

Mailing address

37699 6 Mile Rd Ste 200
Livonia, MI 48152-3994
Phone (734) 953-4155

Other practice location 1

22601 Allen Rd Ste 200
Woodhaven, MI 48183-2273
Phone (734) 692-4155

Other practice location 2

43050 Ford Rd Ste 100
Canton, MI 48187-3374
Phone (734) 844-9130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318000281 MI Practitioner - Physical Therapist in Private Practice 3870833528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Physical Therapy LLCGroup PAC ID 7416374517, 2 clinicians

Practice addresses (Care Compare)

200 Macomb Daily Dr
Mount Clemens, MI 48043-5800
Phone (586) 741-5806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019068MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All-Pro Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Balanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
All-Pro Physical Therapy LLC Physical Therapist PastSince Mar 1, 2019 Accepting new patients

Locations

43050 Ford Rd
Ste 100
Canton, MI 48187
Phone (734) 844-9130

37699 6 Mile Rd
Ste 200
Livonia, MI 48152
Phone (734) 753-4155

200 Macomb Daily Dr
Mount Clemens, MI 48043
Phone (586) 465-7422

4915 Leafdale Blvd
Royal Oak, MI 48073
Phone (248) 687-4482

22601 Allen Rd
Ste 200
Woodhaven, MI 48183
Phone (734) 692-4155

Organizations & group practices 3

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1396203816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37699 6 MILE RD STE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523994",
            "telephone_number": "734-953-4155",
            "fax_number": "734-953-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37699 6 MILE RD STE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523994",
            "telephone_number": "734-953-4155",
            "fax_number": "734-953-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22601 Allen Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481832273",
            "country_code": "US",
            "telephone_number": "734-692-4155",
            "fax_number": "734-692-4158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43050 Ford Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873374",
            "country_code": "US",
            "telephone_number": "734-844-9130",
            "fax_number": "734-844-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITZENBURG",
        "first_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 4, 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.