Zachary Kucharek

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018673 Issued in MI

Practice address

3097 29TH St SE Ste B
Grand Rapids, MI 49512-1726

Phone

(616) 741-2232

NPI assigned

Jun 11, 2018

Sex

Male

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

Enrolled in MI

Enrollment records 1

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 and National Provider Directory roles.

• Golan Integrated Physical Medicine

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1316419260
  Medicare reassignment NPD
• Golan Integrated Physical Medicine

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
  • NPI 1952019820
  NPD

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1861985244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561564",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802561564",
            "telephone_number": "616-741-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 29TH ST SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121726",
            "telephone_number": "616-741-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHAREK",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Kubiak
• Kalin Kubiak, PA
• Trey J Kubizna, D.P.T.
• Brett David Kucej, M.D.
• Erin Kucharek, A-GNP-C
• Sara Portwood Kuckhoff, DMD
• Lindsay Kuczera, LMSW
• Leeann Marie Kuehn, PA-C, MPH
• Alana Marie Kugelard, PA
• Alexis Anna-Mae Kughn

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.