Individual provider Active NPI

Hannah Stefanek, PT, DPT

  • Physical Therapist
  • Howell, MI
National Provider Identifier
1932807278
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302371 Issued in MI
Practice address
4128 E Grand River Ave
Howell, MI 48843-6538
Phone
(517) 540-1060
Fax
(517) 540-1063
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 5501302371 MI Primary

Addresses

Primary practice location

4128 E Grand River Ave
Howell, MI 48843-6538

Mailing address

9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (734) 416-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230303000970 MI Practitioner - Physical Therapist in Private Practice 6002289501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 W Main St
Suite 120
Northville, MI 48167-1548
Phone (248) 347-1168

4128 E Grand River Ave
Howell, MI 48843-6538
Phone (517) 540-1060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302371MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Feb 15, 2023 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Feb 15, 2023 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist Past Accepting new patients

Locations

49650 Cherry Hill Rd
Ste 230
Canton, MI 48187
Phone (734) 495-3725

4128 E Grand River Ave
Howell, MI 48843
Phone (517) 540-1060

133 W Main St
Ste 120
Northville, MI 48167
Phone (248) 347-1168

39885 Grand River Ave
Ste 300
Novi, MI 48375
Phone (248) 615-0282

9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1932807278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610",
            "telephone_number": "734-416-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436538",
            "telephone_number": "517-540-1060",
            "fax_number": "517-540-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANEK",
        "first_name": "HANNAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.