Individual provider Active NPI

Adam Maroszek, PT

  • Physical Therapist
  • Richmond, MI
National Provider Identifier
1518014786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004636 Issued in MI
Practice address
31505 32 Mile Rd
Richmond, MI 48062-5215
Phone
(586) 727-0018
Fax
(586) 727-0028
NPI assigned
Jan 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 5501004636 MI Primary

Addresses

Primary practice location

31505 32 Mile Rd
Richmond, MI 48062-5215

Mailing address

35620 Saxony Dr
Sterling HTS, MI 48310-5187
Phone (586) 268-3819

Other identifiers 1

IdentifierTypeStateIssuer
ON58040OtherMIHAP HMO

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

OrganizationSpecialtyStatusNew patients
Aks of Romeo LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients

Locations

67505 S Main St
Richmond, MI 48062
Phone (586) 636-3232

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518014786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35620 SAXONY DR",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483105187",
            "telephone_number": "586-268-3819",
            "fax_number": "586-727-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31505 32 MILE RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480625215",
            "telephone_number": "586-727-0018",
            "fax_number": "586-727-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROSZEK",
        "first_name": "ADAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP HMO",
            "identifier": "ON58040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, 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.