Individual provider Active NPI

Stephanie E Koslowski, PT

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1730475328
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015531 Issued in MI
Practice address
30575 Woodward Ave
Ste 100
Royal Oak, MI 48073-0980
Phone
(248) 280-8550
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501015531 MI Primary

Addresses

Primary practice location

30575 Woodward Ave
Ste 100
Royal Oak, MI 48073-0980

Mailing address

30575 Woodward Ave
Ste 100
Royal Oak, MI 48073-0980
Phone (248) 280-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000479 MI Practitioner - Physical Therapist in Private Practice 6204008717 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015531MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Mar 1, 2020 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince May 7, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Mar 1, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Current Accepting new patients

Locations

641 W 9 Mile Rd
Ste D
Ferndale, MI 48220
Phone (248) 399-5212

5668 Okemos Rd
Haslett, MI 48840
Phone (517) 256-6870

2820 Crooks Rd
Ste 400
Rochester Hills, MI 48309
Phone (248) 852-9290

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1730475328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 WOODWARD AVE",
            "address_2": "STE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730980",
            "telephone_number": "248-280-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 WOODWARD AVE",
            "address_2": "STE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730980",
            "telephone_number": "248-280-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLOWSKI",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.