Matthew Alan Niemiec, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012952 Issued in MI

Practice address

321 Pettibone St
Suite 104
South Lyon, MI 48178-1220

Phone

(248) 437-2322

Fax

(248) 437-2433

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• All-Pro Physical Therapy LLC

  • Physical Therapist
  • Rochester, MI
  • NPI 1285152421
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730293945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 PETTIBONE ST",
            "address_2": "SUITE 104",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781220",
            "telephone_number": "248-437-2322",
            "fax_number": "248-437-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 PETTIBONE ST",
            "address_2": "SUITE 104",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781220",
            "telephone_number": "248-437-2322",
            "fax_number": "248-437-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly B Murray, PT
• Samantha Lynn Murray, D.P.T
• Todd John Nadeau, M.A., LLP
• Natasha Gates DDS, PLLC
• Jennifer Nidetz, LMSW
• Raymond Nkrumah
• Ronald Nomura, LMT, BCTMB, CPMT
• Novian Care LLC
• Office 5 PLLC
• Susan Okonkowski, RD

• Physical Therapist in South Lyon, MI
• Providers in South Lyon, 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 8, 2007; 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.