Awakening Movements Feldenkrais and Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501010870 Issued in MI

Legal business name

AWAKENING MOVEMENTS FELDENKRAIS AND PHYSICAL THERAPY

Practice address

1710 E 12 Mile Rd Ste 103
Royal Oak, MI 48073-4200

Phone

(248) 321-0358

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Miss Lisa Darlene Ponichter, MPT, GCFPNPI 1558650424

Title

Physical Therapist

Phone

(248) 321-0358

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Darlene Ponichter, MPT

  • Physical Therapist
  • Ferndale, MI
  • NPI 1558650424
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1871938324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E 14 MILE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097206",
            "telephone_number": "248-321-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E 12 MILE RD STE 103",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734200",
            "telephone_number": "248-321-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING MOVEMENTS FELDENKRAIS AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "PONICHTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-321-0358",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MPT, GCFP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501010870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Authenticity Psychological Services PLLC
• Joseph Auty, CRNA
• Philip Adam Avramoski, SRNA
• Courtney Jennifer Avromov, PA
• Peter Awad
• Hannah Rose Ayar, MD
• Ereny Ayoub, DPM
• Charlene Irvin Babcock, MD
• Babies World
• Joseph M. Bacarella, CRNA

• Physical Therapy Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Therapy Clinic/Center in Michigan

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