Derek Walter Migazzi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011921 Issued in MI

Practice address

1110 Hammond Rd E
Ste 5
Traverse City, MI 49686-9362

Phone

(231) 995-5210

NPI assigned

Jan 7, 2008

Last updated

Apr 9, 2014By the provider in NPPES

Sex

Male

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hastings Orthopedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Hastings, MI
  • NPI 1811197593
  NPD (past)
• Hastings Orthopedic Clinic PC

  • Orthopaedic Surgery Physician
  • Hastings, MI
  • NPI 1346373065
  NPD (past)
• William Sterling Margaret LLC

  dba Excel Rehabilitation Services

  • Physical Therapist
  • Novi, MI
  • NPI 1003946625
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1699950808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HAMMOND RD E",
            "address_2": "STE 5",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869362",
            "telephone_number": "231-995-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGAZZI",
        "first_name": "DEREK",
        "middle_name": "WALTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Mick
• Gerald Micketti, LLPC
• Middle Path Counseling, PLLC
• Gina R Middlebrook, FNP
• Midstream Counseling PLC
• Mighty Oak Therapy Services PLLC
• Brittany Mikolowski
• Sharon Mikowski
• Mark A Mikula, M.D.
• Curt M Mikulski, M.D.

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.