Individual provider Active NPI

Chelci Kuiack, DPT

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1669010864
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019374 Issued in MI
Practice address
15501 Metro Pkwy Ste 102
Clinton Township, MI 48036-1684
Phone
(596) 697-7000
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 5501019374 MI Primary

Addresses

Primary practice location

15501 Metro Pkwy Ste 102
Clinton Township, MI 48036-1684

Mailing address

11630 Weingartz W
Utica, MI 48315-5933
Phone (316) 650-5739

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

State licenses

LicenseStateTypeSpecialty
5501019374MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Munger Physical Therapy, PLC Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Empower Physical Therapy and Fitness Past Accepting new patients

Locations

44925 Morley Dr
Clinton Twp, MI 48036
Phone (586) 846-4320

4351 24th Ave
Ste 5
Fort Gratiot, MI 48059
Phone (810) 385-7405

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1669010864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 WEINGARTZ W",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155933",
            "telephone_number": "316-650-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METRO PKWY STE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "596-697-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIACK",
        "first_name": "CHELCI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.