Individual provider Active NPI

Tracey J Woycik, PT

  • Physical Therapist
  • Lapeer, MI
National Provider Identifier
1508087594
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010690 Issued in MI
Practice address
944 Baldwin Rd
Ste E
Lapeer, MI 48446-3089
Phone
(810) 245-8290
Fax
(810) 245-6929
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 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 5501010690 MI Primary

Addresses

Primary practice location

944 Baldwin Rd
Ste E
Lapeer, MI 48446-3089

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000660 MI Practitioner - Physical Therapist in Private Practice 0143320515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Lapeer Physical Therapy LLCGroup PAC ID 7416392386, 2 clinicians

Practice addresses (Care Compare)

944 Baldwin Rd
Suite E
Lapeer, MI 48446-3089
Phone (810) 245-5562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501010690MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lapeer Physical Therapy LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
DCC PC PastSince Jul 1, 2007 Accepting new patients
Genesys Regional Medical Center Physical Therapist Past Accepting new patients

Locations

944 Baldwin Rd
Ste E
Lapeer, MI 48446
Phone (810) 245-5562

Organizations & group practices 3

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1508087594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "STE E",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-8290",
            "fax_number": "810-245-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYCIK",
        "first_name": "TRACEY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.