Active NPI
Jessica Radek
- Physical Therapist
- Manistee, MI
National Provider Identifier
1548175763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304007
- Practice address
- 1345 E Parkdale Ave
Manistee, MI 49660-9318 - Phone
- (231) 398-1166
- NPI assigned
- Aug 14, 2026
- Sex
- Female
- 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 | 5501304007 | MI | Primary |
Addresses
Primary practice location
1345 E Parkdale Ave
Manistee, MI 49660-9318
Mailing address
2314 Revolt Rd
Manistee, MI 49660-8999
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1548175763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 REVOLT RD",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496608999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 E PARKDALE AVE",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609318",
"telephone_number": "231-398-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEK",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.