Alexandria Kozich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303398 Issued in MI

Practice address

1434 W Chicago Blvd Ste a
Tecumseh, MI 49286-8727

Phone

(517) 507-5555

NPI assigned

Jul 29, 2024

Sex

Female

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diverge Community Services LLCGroup PAC ID 1254872682, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diverge Community Services, LLC

  • Occupational Therapist
  • Flat Rock, MI
  • NPI 1174230270

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment NPD
• Dearborn Speech and Sensory Center, Inc

  • Behavior Analyst
  • Plymouth, MI
  • NPI 1033510821
  Medicare reassignment
• Neurospace LLC

  • Occupational Therapist
  • Saline, MI
  • NPI 1134088537
  NPD (past)

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1720817869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROOKFIELD DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036073",
            "telephone_number": "440-541-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 W CHICAGO BLVD STE A",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492868727",
            "telephone_number": "517-507-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZICH",
        "first_name": "ALEXANDRIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William P Kelly, D.C.
• Linda M. Killian, N.P., R.N.C.
• Alyssa King
• Linda Sue Klavon, MS, RN, CS, ACNP-BC
• Leslie Ann Kovalski, L.P.C.
• Shannon Kaye Kulick, PHARM D.
• Jaylen Lambka
• Andrea Lauderdale, DPT
• Robert Leffler, PT
• Shaun Lewandowski

• Physical Therapist in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.