Individual provider Active NPI

Dariusz Gluchowski, PHYSICAL THERAPIST

  • Massage Therapist
  • Southfield, MI
National Provider Identifier
1952866865
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501003221 Issued in MI
Practice address
24901 Northwestern Hwy Ste 101
Southfield, MI 48075-2200
Phone
(248) 358-3000
NPI assigned
Feb 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501003221 MI Primary

Addresses

Primary practice location

24901 Northwestern Hwy Ste 101
Southfield, MI 48075-2200

Mailing address

19337 Skyline St
Roseville, MI 48066-4531
Phone (586) 495-9331

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501003221MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rizwan Qadir MD PC Past Accepting new patients
Neuromuscular Services, PLLC Past Accepting new patients

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1952866865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19337 SKYLINE ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664531",
            "telephone_number": "586-495-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752200",
            "telephone_number": "248-358-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCHOWSKI",
        "first_name": "DARIUSZ",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501003221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.