Rebecca Marie Gietzen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019076 Issued in MI

Practice address

10912 Wayne Rd
Romulus, MI 48174-1471

Phone

(734) 955-7000

NPI assigned

Mar 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Marie Zawodny Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1811523434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11027 FAIRFIELD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 WAYNE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741471",
            "telephone_number": "734-955-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-15",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ZAWODNY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Full Circle Therapeutic Services
• Walter Willie Gadson
• Lauren Michele Garrisi, M.A.C.C.C.S.L.P.
• Jessica Leigh Geiser, OTR
• Stephanie Gibson
• Lacara Gilmore, LLMFT
• Kevin Glenn
• Glorious Global Outreach
• Loren Glover
• Bryan Goetz

• Physical Therapist in Romulus, MI
• Providers in Romulus, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; 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.