Individual provider Active NPI

Marek Drzazga, P.T.

  • Physical Therapist
  • Chesterfield, MI
National Provider Identifier
1437453479
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007823 Issued in MI
Practice address
28098 23 Mile Rd
Chesterfield, MI 48051-2316
Phone
(586) 949-0123
Fax
(586) 228-9019
NPI assigned
Jan 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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 5501007823 MI Primary

Addresses

Primary practice location

28098 23 Mile Rd
Chesterfield, MI 48051-2316

Mailing address

43740 Garfield Rd
Clinton TWP, MI 48038-1122
Phone (586) 949-0123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000818 MI Practitioner - Physical Therapist in Private Practice 9335325372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians

Practice addresses (Care Compare)

57911 Van Dyke Rd
Washington, MI 48094-2763
Phone (586) 781-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc Physical Therapist CurrentSince Dec 27, 2010 Accepting new patients
Total Health Systems Inc PastSince Dec 27, 2010 Accepting new patients

Locations

26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 716-8485

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

30045 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 771-2006

57911 Van Dyke Rd
Washington, MI 48094
Phone (586) 781-0800

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.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1437453479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381122",
            "telephone_number": "586-949-0123",
            "fax_number": "586-228-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28098 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512316",
            "telephone_number": "586-949-0123",
            "fax_number": "586-228-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRZAZGA",
        "first_name": "MAREK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.