Jesse Siwek

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018768 Issued in MI

Practice address

540 W Lake St Ste 3
Tawas City, MI 48763-5101

Phone

(989) 984-6075

Fax

(989) 305-6038

NPI assigned

Aug 2, 2018

Sex

Male

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renue 003 Saginaw LLCGroup PAC ID 4981870870, 15 clinicians

Renue 018 Tawas, LLCGroup PAC ID 1759779853, 10 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 and National Provider Directory roles.

• Renue 003 Saginaw LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1578845285
  Medicare reassignment Care Compare group
• Renue 018 Tawas, LLC

  • Physical Therapy Clinic/Center
  • Tawas City, MI
  • NPI 1790452043
  Medicare reassignment Care Compare group
• Ivyrehab Michigan, LLC

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

  Physical Therapist

  Medicare reassignment NPD
• Renue 001 Freeland LLC

  • Physical Therapy Clinic/Center
  • Freeland, MI
  • NPI 1922385707

  Physical Therapist

  Medicare reassignment NPD
• Renue 002 Bay City LLC

  • Physical Therapy Clinic/Center
  • Bay City, MI
  • NPI 1922379320

  Physical Therapist

  Medicare reassignment NPD
• Renue 004 Bridgeport, LLC

  • Physical Therapist
  • Bridgeport, MI
  • NPI 1952740466
  Medicare reassignment NPD
• Renue 006 Saginaw State St LLC

  • Physical Therapist
  • Saginaw, MI
  • NPI 1871835405
  Medicare reassignment NPD
• Renue 009 Midland LLC

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1174963961

  Physical Therapist

  Medicare reassignment NPD
• Renue 012 Essexville, LLC

  • Physical Therapist
  • Bay City, MI
  • NPI 1548740871
  Medicare reassignment

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1396223178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W LAKE ST STE 3",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487635101",
            "telephone_number": "989-984-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W LAKE ST STE 3",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487635101",
            "telephone_number": "989-984-6075",
            "fax_number": "989-305-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIWEK",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devendra K Sharma, MD
• Stacy Michelle Shoen, PHARMD
• Feliwelyn Matalines Abis Shuart, PHYSICAL THERAPIST
• Brooke Kylie Shultz, PHARMD
• Courtney Siwek, DPT
• Ashley Ann Smith, FNP-C
• Holly Smith, SSCA
• Sobaks Home Medical, Inc
• Scott W Somerfield, RPH
• St Joseph Health Enterprises

• Physical Therapist in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.