Max Gorcyca

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008168 Issued in MI

Practice address

100 E Michigan Ave Ste 103
Jackson, MI 49201-1406

Phone

(517) 205-7252

NPI assigned

Jan 31, 2025

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• W a Foote Memorial Hospital Inc

  dba Henry Ford Allegiance Health

  • Physical Therapy Clinic/Center
  • Jackson, MI
  • NPI 1437654977
  NPD (past)
• W.a. Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD (past)

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1669285797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 103",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "517-205-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 103",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "517-205-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 E Michigan Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011853",
            "country_code": "US",
            "telephone_number": "517-205-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORCYCA",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Good, MA, LPC
• Starlyn Goodall, M.A
• Wayne M Gooding, CMT.
• Jessica Goodlock, MBA
• Stephanie Elizabeth Goodrich
• Christi Ann Gorczyca, DVM
• Patrick Joseph Gorczyca, DVM
• Elizabeth Anne Gordon Spratt, M.D.
• Carmelina Gordon, M.D.
• Kirstyn Jane Gordon, MSW, LLMSW

• Physical Therapy Assistant in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.