Individual provider Active NPI

Justice Steven Wozny, LPTA

  • Physical Therapy Assistant
  • Brooklyn, MI
National Provider Identifier
1669724548
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
2354 Tecumseh Dr
Brooklyn, MI 49230-9268
Phone
(248) 462-9405
NPI assigned
Oct 3, 2012
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2354 Tecumseh Dr
Brooklyn, MI 49230-9268

Mailing address

2354 Tecumseh Dr
Brooklyn, MI 49230-9268

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2012.

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1669724548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 TECUMSEH DR",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 TECUMSEH DR",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309268",
            "telephone_number": "248-462-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNY",
        "first_name": "JUSTICE",
        "middle_name": "STEVEN",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.