Mary Jane M Ciacico, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006380 Issued in MI

Practice address

14061 E 13 Mile Rd
Suite 1
Warren, MI 48088-5866

Phone

(586) 294-7077

Fax

(586) 294-7144

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Michigan Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Consultants,P.C. 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy Consultants,P.C.

  • Physical Therapist
  • Waterford, MI
  • NPI 1023395456

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy on the Go LLC

  • Physical Therapist
  • Washington, MI
  • NPI 1730877580

  MI

  Medicare reassignment Authorized official
• Concentra Health Services, Inc.

  • Health Service Clinic/Center
  • Warren, MI
  • NPI 1851543326
  NPD (past)
• Occupational Health Centers of Michigan, P.C.

  • Health Service Clinic/Center
  • Warren, MI
  • NPI 1902838394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1508983271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD",
            "address_2": "SUITE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672626",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14061 E 13 MILE RD",
            "address_2": "SUITE 1",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480885866",
            "telephone_number": "586-294-7077",
            "fax_number": "586-294-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIACICO",
        "first_name": "MARY JANE",
        "middle_name": "M",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Christensen, CRNA
• Maurica Christian
• Christie-Homecare,LLC
• Paul Walter Chrobak, D.O.
• Samuel N Chrusciel
• Linda Cianferra
• Julie A Ciechanowski, PT
• City of Warren
• Jeremy Ryan Ciullo, MD
• Clairpointe Family Therapy PLLC

• All providers in Warren, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.