Darin Nowak
Individual provider Active NPI Physical Therapist · Milford, MI
NPI 1629008206 · NPPES record last updated Sep 5, 2007
Key facts
- NPI
- 1629008206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501009669 (MI)
- Practice address
- 555 Highland Ave
Milford, MI 48381-1517 - Phone
- (810) 966-4841
- Fax
- (810) 966-7927
- NPI assigned
- Jul 3, 2006
- Reactivated
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bluesky Rehabilitation Therapies
Practice addresses (Care Compare)
3058 N State Rd
Suite E
Davison, MI 48423-3508
Phone (248) 760-8953
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050111000102 | MI | Practitioner - Physical Therapist in Private Practice | 2769430412 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009669 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluesky Rehabilitation Therapies | Physical Therapist | Current |
Accepting new patients |
| Premier Health and Wellness Center | Past | Accepting new patients |
Locations
3058 N State Rd
Ste E
Davison, MI 48423
Phone (248) 760-8953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501009669 | MI | Yes |
Addresses
Primary practice location
555 Highland Ave
Milford, MI 48381-1517
Mailing address
2051 Hunters Creek Rd
Metamora, MI 48455-9259
Phone (810) 571-0556
Other providers in Milford, MI
- Newbeginningsii
- Nextgen Physicians PLC
- Schelly Nichols
- Kara Ann Niffin
- Kristen Marie Nordstrom
- Nye Dental of Milford PLLC
- Oakland Internal Medicine Associates PC
- Oakland Psychological Clinic, P.C.
- Paige L Odden
- Mary Jo Oldford
All providers in Milford, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.