Active NPI
Daniel Alan Durecki, PT
- Physical Therapist
- Auburn Hills, MI
National Provider Identifier
1891875662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011296
- Practice address
- 3100 Cross Creek Pkwy
Suite 110
Auburn Hills, MI 48326-2774 - Phone
- (248) 377-8000
- Fax
- (248) 364-4265
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011296 | MI | Primary |
Addresses
Primary practice location
3100 Cross Creek Pkwy
Suite 110
Auburn Hills, MI 48326-2774
Mailing address
3100 Cross Creek Pkwy
Suite 110
Auburn Hills, MI 48326-2774
Phone (248) 377-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011296 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1891875662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 CROSS CREEK PKWY",
"address_2": "SUITE 110",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262774",
"telephone_number": "248-377-8000",
"fax_number": "248-364-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CROSS CREEK PKWY",
"address_2": "SUITE 110",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262774",
"telephone_number": "248-377-8000",
"fax_number": "248-364-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURECKI",
"first_name": "DANIEL",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
- Caitlyn Dubrul
- Hailey Marie Dudley
- Ryan Michael Dumont, LLMSW
- Gabrielle-Gloria Nicole Dunham, LLPC, MHP, QMHP, CMH
- Erin Dunny, RD
- E. Dilaura Therapeutic Services PLLC
- Kwentaia Earl
- Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
- Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
- Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.