Individual provider Active NPI

Zachary Lizenby, PT

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1881146116
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017792 Issued in MI
Practice address
35724 Van Dyke Ave
Sterling Heights, MI 48312-3564
Phone
(586) 698-0081
Fax
(586) 795-0885
NPI assigned
Nov 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017792 MI Primary

Addresses

Primary practice location

35724 Van Dyke Ave
Sterling Heights, MI 48312-3564

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122001564 MI Practitioner - Physical Therapist in Private Practice 3678852217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2215 18 Mile Rd
Sterling Heights, MI 48314-3707
Phone (586) 930-0668

42615 Garfield Rd
Clinton Township, MI 48038-1653
Phone (586) 286-8280

5700 Jackson Rd
Ann Arbor, MI 48103-9504
Phone (734) 926-4710

7715 26 Mile Rd
Washington, MI 48094-2804
Phone (586) 992-4930

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017792MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Sep 19, 2016 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Sep 19, 2016 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2510 S Telegraph Rd
Ste I
Bloomfield Hills, MI 48302
Phone (248) 335-2000

40097 S Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 468-7612

42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845

43475 Dalcoma Dr
Clinton Twp, MI 48038
Phone (586) 263-5043

10636 W 7 Mile Rd
Detroit, MI 48221
Phone (313) 862-1340

425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835

44200 Woodward Ave
Ste 114
Pontiac, MI 48341
Phone (248) 409-3300

2672 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 289-1785

31120 Gratiot Ave
Roseville, MI 48066
Phone (586) 541-2220

31372 Woodward Ave
Royal Oak, MI 48073
Phone (248) 591-4229

29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

35724 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 698-0081

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

8381 E 12 Mile Rd
Warren, MI 48093
Phone (586) 698-1999

7715 26 Mile Rd
Washington Twp, MI 48094
Phone (248) 650-4601

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

6199 Haggerty Rd
West Bloomfield, MI 48322
Phone (248) 560-2505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1881146116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35724 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123564",
            "telephone_number": "586-698-0081",
            "fax_number": "586-795-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZENBY",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.