Abbey Pavlosky, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5502006293 Issued in MI

Practice address

20952 E 12 Mile Rd Ste 110
Saint Clair Shores, MI 48081-3202

Phone

(586) 498-3500

Fax

(586) 498-3510

NPI assigned

Dec 20, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1821867755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 110",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813202",
            "telephone_number": "586-498-3500",
            "fax_number": "586-498-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 110",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813202",
            "telephone_number": "586-498-3500",
            "fax_number": "586-498-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOSKY",
        "first_name": "ABBEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5502006293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Centered Psych PLLC
• Patrick E Chase DC Professional Corporation
• Robert Patrus
• Paul a Meyering, DDS, PLC
• Nicholas Rudolph Paver, D.D.S.
• Lisa Ann Peabody, RPH
• Emma Peck
• Rikki Pedersen
• Joel L Pelavin, M.D.,P.C.
• Benedict P. Pellerito, M.D.

• Physical Medicine & Rehabilitation Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.