Individual provider Active NPI

Anthony Frank Balcerzak, OWNER

  • Orientation and Mobility Training Rehabilitation Counselor
  • Clinton TWP, MI
National Provider Identifier
1811135775
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orientation and Mobility Training Rehabilitation CounselorTaxonomy code 225CX0006X
License
B203734287 Issued in MI
Practice address
38516 N Gratiot Avenue
Clinton TWP, MI 48036
Phone
(586) 463-8801
Fax
(586) 463-8804
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orientation and Mobility Training Rehabilitation Counselor 225CX0006X B203734287 MI Primary

Addresses

Primary practice location

38516 N Gratiot Avenue
Clinton TWP, MI 48036

Mailing address

38516 N Gratiot Avenue
Clinton TWP,Mi, 48036:, MI 48047
Phone (586) 463-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B203734287MIMDOrientation and Mobility Training Rehabilitation Counselor

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1811135775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38516 N GRATIOT AVENUE",
            "city": "CLINTON TWP,MI, 48036:",
            "state": "MI",
            "postal_code": "48047",
            "telephone_number": "586-463-8801",
            "fax_number": "586-463-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38516 N GRATIOT AVENUE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-463-8801",
            "fax_number": "586-463-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCERZAK",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "MI",
            "license": "B203734287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.