Individual provider Active NPI

Debra Anne Kowalski, P.T.

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1780786319
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008097 Issued in MI
Practice address
50505 Schoenherr Rd
Suite 140
Shelby Township, MI 48315-3140
Phone
(586) 710-2320
NPI assigned
Sep 3, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 5501008097 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd
Suite 140
Shelby Township, MI 48315-3140

Mailing address

32859 Greenwood Dr
Chesterfield, MI 48047-2736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000040 MI Practitioner - Physical Therapist in Private Practice 4587674288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50505 Schoenherr Rd
Suite 120
Shelby Township, MI 48315-3140
Phone (586) 412-1411

Merit-based Incentive Payment System (MIPS)

Final score
88.14 of 100Reported as group
Quality
80.64
Promoting interoperability
100
Improvement activities
40
Cost
79.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Orthopedists of Detroit PC Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients
Associated Orthopedists of Detroit, PC Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients

Locations

50505 Schoenherr Rd
Ste 120
Shelby Township, MI 48315
Phone (586) 412-1411

24715 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 777-9000

24715 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 779-2585

Interoperability endpoints

  • Direct secure messaging: debra.kowalski.1@24034.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1780786319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32859 GREENWOOD DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 140",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-710-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.