Active NPI
Lisa Marie Szostakowski, DPT
- Physical Therapist
- Warren, MI
National Provider Identifier
1609186592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014594
- Practice address
- 30020 Schoenherr Rd
Warren, MI 48088-3125 - Phone
- (586) 775-5267
- Fax
- (586) 775-2331
- NPI assigned
- Oct 14, 2010
- Last updated
- Sep 11, 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 | 5501014594 | MI | Primary |
Addresses
Primary practice location
30020 Schoenherr Rd
Warren, MI 48088-3125
Mailing address
30020 Schoenherr Rd
Warren, MI 48088-3125
Phone (586) 775-5267
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services MI LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5460 Gull Rd
Suite E
Kalamazoo, MI 49048-7653
Phone (269) 238-5044
5969 N Canton Ctr Rd
Canton, MI 48187-2757
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014594 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health and Wellness Center | Past | Accepting new patients | |
| Mendelson Orthopedics PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
-
dba Fox Rehabilitation
- Physical Therapist
- Canton, MI
- NPI 1790324648
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
-
- Multi-Specialty Clinic/Center
- Warren, MI
- NPI 1659631265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1609186592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30020 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480883125",
"telephone_number": "586-775-5267",
"fax_number": "586-775-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30020 SCHOENHERR RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480883125",
"telephone_number": "586-775-5267",
"fax_number": "586-775-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZOSTAKOWSKI",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014594",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services MI LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "5969 N Canton Center Rd",
"city": "Canton",
"state": "MI",
"country_code": "US",
"postal_code": "481872757",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.