Individual provider Active NPI

Marina Przybylowicz, PT

  • Physical Therapist
  • South Lyon, MI
National Provider Identifier
1770118408
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019622 Issued in MI
Practice address
582 N Lafayette St
South Lyon, MI 48178-2000
Phone
(248) 573-7940
Fax
(248) 573-7941
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 298148 CA
Physical Therapist 225100000X 5501019622 MI Primary

Addresses

Primary practice location

582 N Lafayette St
South Lyon, MI 48178-2000

Mailing address

9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (248) 573-7940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810002154 MI Practitioner - Physical Therapist in Private Practice 0143645044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

3100 Cross Creek Pkwy
Suite 160
Auburn Hills, MI 48326-2775
Phone 24837780001050

Merit-based Incentive Payment System (MIPS)

Final score
78.53 of 100Reported as group
Quality
60.91
Promoting interoperability
98
Improvement activities
40
Cost
69.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298148CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Knee & Sports Medicine PC CurrentSince Jul 15, 2023 Accepting new patients
Rochester Knee & Sports Medicine, PC Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Campus Commons Physical Therapy, Inc. Physical Therapist PastSince Mar 1, 2020 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Past Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 200
Auburn Hills, MI 48326
Phone (248) 377-8000

3100 Cross Creek Pkwy
Ste 160
Auburn Hills, MI 48326
Phone (248) 364-4064

Interoperability endpoints

  • Direct secure messaging: marina.hartmann.1@16694.direct.athenahealth.com

Organizations & group practices 4

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1770118408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610",
            "telephone_number": "248-573-7940",
            "fax_number": "248-573-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481782000",
            "telephone_number": "248-573-7940",
            "fax_number": "248-573-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLOWICZ",
        "first_name": "MARINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298148",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.