Individual provider Active NPI

Pawel Laskowski, P.T.

  • Physical Therapist
  • Clinton TWP, MI
National Provider Identifier
1508076282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005388 Issued in MI
Practice address
16200 19 Mile Rd
Clinton TWP, MI 48038-1103
Phone
(586) 416-2065
Fax
(586) 228-7159
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501005388 MI Primary

Addresses

Primary practice location

16200 19 Mile Rd
Clinton TWP, MI 48038-1103

Mailing address

39349 Durand Dr
Sterling Heights, MI 48310-2408
Phone (586) 939-7049

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

State licenses

LicenseStateTypeSpecialty
5501005388MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Rehabilitation Professionals Past Accepting new patients
Quality Care Rehabilitation Professionals, Inc Physical Therapist PastSince Mar 1, 2018 Accepting new patients

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508076282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39349 DURAND DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102408",
            "telephone_number": "586-939-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381103",
            "telephone_number": "586-416-2065",
            "fax_number": "586-228-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKOWSKI",
        "first_name": "PAWEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.