Individual provider Active NPI

Kodie Krzys, P.T.

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1447791033
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018118 Issued in MI
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

Updated by the provider on Mar 15, 2017

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 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

Enrollment IDStateProvider typePAC IDDetails
I20170322000497 MI Practitioner - Physical Therapist in Private Practice 4385929959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018118MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC CurrentSince Apr 22, 2024 Accepting new patients
Orthopedic Specialists of Oakland County, P.C. CurrentSince Jun 11, 2022 Accepting new patients
Total Health Systems Inc Physical Therapist CurrentSince Apr 3, 2017 Accepting new patients
University Neurosurgical Associates PC CurrentSince Apr 22, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.