Individual provider Active NPI

Aimee Joyce Watzke, PT, DPT

  • Physical Therapist
  • Mason, MI
National Provider Identifier
1972086411
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
550108841 Issued in MI
Practice address
3181 Sandhill Rd
Mason, MI 48854-9425
Phone
(517) 336-6060
Fax
(517) 336-6050
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 550108841 MI Primary

Addresses

Primary practice location

3181 Sandhill Rd
Mason, MI 48854-9425

Mailing address

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

Other names 1

  • Dr. Aimee Sudek Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181117000429 MI Practitioner - Physical Therapist in Private Practice 6901150580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Rehabilitation Alliance IncGroup PAC ID 9133370430, 36 clinicians

Practice addresses (Care Compare)

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
550108841MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation Alliance, Inc. Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients

Locations

137 S Marketplace Blvd
Lansing, MI 48917
Phone (517) 336-6060

3181 Sandhill Rd
Mason, MI 48854
Phone (517) 336-6060

Organizations & group practices 1

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1972086411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SANDHILL RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549425",
            "telephone_number": "517-336-6060",
            "fax_number": "517-336-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATZKE",
        "first_name": "AIMEE",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "550108841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "SUDEK",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.