Sydnie Wedig, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501301923 Issued in MI

Practice address

820 Carp River LN Ste 2
Ishpeming, MI 49849-3187

Phone

(906) 204-7400

Fax

(906) 204-7402

NPI assigned

Sep 13, 2022

Last updated

Aug 31, 2023By the provider in NPPES

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

• Sydnie Mazurek Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Central Michigan College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Active Partners LLCGroup PAC ID 5890920045, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Superior Active Partners LLC

  dba Active Physical Therapy - Ishpeming

  • Physical Therapy Clinic/Center
  • Ishpeming, MI
  • NPI 1982045001

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1841912284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN STE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-204-7400",
            "fax_number": "906-204-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CARP RIVER LN STE 2",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498493187",
            "telephone_number": "906-204-7400",
            "fax_number": "906-204-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDIG",
        "first_name": "SYDNIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stayactiveup.com",
            "affiliation": "N",
            "address_1": "820 Carp River Ln Ste 2",
            "city": "Ishpeming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498493187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYDNIE",
            "last_name": "MAZUREK",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Upper Peninsula Imaging PC
• Jennifer G Vandyck
• Niksa Vlasic, M.D.
• Melissa Ann Wachter, RN
• Steven J Wallner, PHARMD
• Angela D Wesselman
• Widcorp PC
• John Wilkinson, MD
• Michael E Worden, CRNA
• Woven Path Art Therapy and Counseling LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.