Active NPI
Kodie Krzys, P.T.
- Physical Therapist
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018118
- Practice address
- 43740 Garfield Rd
Clinton Township, MI 48038-1122 - Phone
- (586) 228-0270
- Fax
- (586) 228-9019
- NPI assigned
- Mar 15, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018118 | MI | Primary |
Addresses
Primary practice location
43740 Garfield Rd
Clinton Township, MI 48038-1122
Mailing address
436 W Northfield Ave
Pontiac, MI 48340-1323
Phone (586) 228-0270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501018118 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Neurosurgical Associates, PC | Current | Accepting new patients | |
| Orthopedic Specialists of Oakland County, P.C. | Current | Accepting new patients | |
| Total Health Systems Inc | Physical Therapist | Current | Accepting new patients |
| University Neurosurgical Associates PC | Current | Accepting new patients |
Locations
2319 Momentum Pl
Chicago, IL 60689
44038 Woodward Ave
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 334-0050
7650 Dixie Hwy
Ste 100
Clarkston, MI 48346
Phone (248) 335-2977
43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270
42450 Hayes Rd
Ste 100
Clinton Twp, MI 48038
Phone (248) 649-2323
29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300
1500 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323
Interoperability endpoints
- kodie.krzys.p1@direct.mhsineuro.nextgenshare.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Bloomfield Hills, MI
- NPI 1720200140
-
- General Practice Physician
- Clinton TWP, MI
- NPI 1265564900
Physical Therapist
-
- Specialist
- Southfield, MI
- NPI 1699761379
-
- Neurological Surgery Physician
- Trenton, MI
- NPI 1497379671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1447791033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 W NORTHFIELD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483401323",
"telephone_number": "586-228-0270",
"fax_number": "586-228-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43740 GARFIELD RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381122",
"telephone_number": "586-228-0270",
"fax_number": "586-228-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZYS",
"first_name": "KODIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.