Active NPI
Diana Stanek
- Physical Therapist
- Burton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501020249
- Practice address
- 1096 S Belsay Rd
Burton, MI 48509-1948 - Phone
- (810) 743-1611
- NPI assigned
- Sep 8, 2021
- 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 | 5501020249 | MI | Primary |
Addresses
Primary practice location
1096 S Belsay Rd
Burton, MI 48509-1948
Mailing address
1096 S Belsay Rd
Burton, MI 48509-1948
Phone (810) 743-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1096 S Belsay Rd
Suite G
Burton, MI 48509-1948
Phone (810) 743-1611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501020249 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Medical Group Genesys | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services Mi LLC | Physical Therapist | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Genesys Integrated Group Practice PC | Past | Accepting new patients |
Locations
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
1096 S Belsay Rd
Ste G
Flint, MI 48509
Phone (810) 743-1611
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
-
- Physical Therapist
- Canton, MI
- NPI 1790324648
-
- Physical Therapist
- Burton, MI
- NPI 1720959661
-
- Physical Therapist
- Burton, MI
- NPI 1114495793
-
- Nurse Practitioner
- Flint, MI
- NPI 1386782381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1447929971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 S BELSAY RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485091948",
"telephone_number": "810-743-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 S BELSAY RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485091948",
"telephone_number": "810-743-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANEK",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501020249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.