Active NPI
Michael A. Kamienski, LPT
- Physical Therapist
- Canton, OH
National Provider Identifier
1457438780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT04591
- Practice address
- 4218 Hills and Dales Rd NW
Canton, OH 44708-1658 - Phone
- (330) 477-9005
- Fax
- (330) 478-1004
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 | PT04591 | OH | Primary |
Addresses
Primary practice location
4218 Hills and Dales Rd NW
Canton, OH 44708-1658
Mailing address
4218 Hills and Dales Rd NW
Canton, OH 44708-1658
Phone (330) 477-9005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000167902 | Other | OH | ANTHEM |
| 2083981 | Medicaid | OH | |
| 64-00435 | Other | OH | UNITEDHEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Works, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Canton, OH
- NPI 1295912806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196208000000",
"number": "1457438780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 HILLS AND DALES RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447081658",
"telephone_number": "330-477-9005",
"fax_number": "330-478-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4218 HILLS AND DALES RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447081658",
"telephone_number": "330-477-9005",
"fax_number": "330-478-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIENSKI",
"first_name": "MICHAEL",
"middle_name": "A.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT04591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000167902",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2083981",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "64-00435",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.