Active NPI
Aaron Wienczak, OTR
- Hand Occupational Therapist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5201010574
- Practice address
- 36622 Five Mile Rd Ste 215
Livonia, MI 48154-1900 - Phone
- (734) 542-9770
- NPI assigned
- Apr 18, 2019
- Last updated
- Jun 13, 2024
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 5201010574 | MI | Primary |
Addresses
Primary practice location
36622 Five Mile Rd Ste 215
Livonia, MI 48154-1900
Mailing address
36622 Five Mile Rd Ste 102
Livonia, MI 48154-1900
Phone (734) 542-9770
Other practice location 1
27472 Schoenherr Rd Ste 130
Warren, MI 48088-6675
Phone (586) 439-6243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201010574 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Wayne State University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201010574 | MI | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Current | Accepting new patients |
Locations
7684 Solutions Ctr
#777684
Chicago, IL 60677
14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200
36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200
36622 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 542-9770
36622 5 Mile Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-9770
27472 Schoenherr Rd
Ste 130
Warren, MI 48088
Phone (586) 439-6243
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.
-
dba mendelson kornblum orthopedic and spine surgeons
- Orthopaedic Surgery Physician
- Sterling Heights, MI
- NPI 1720395205
-
dba Mendelson Schoenherr
- Interventional Pain Medicine Physician
- Warren, MI
- NPI 1700239415
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1972166692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36622 FIVE MILE RD STE 102",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541900",
"telephone_number": "734-542-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36622 FIVE MILE RD STE 215",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541900",
"telephone_number": "734-542-9770"
}
],
"practiceLocations": [
{
"address_1": "27472 Schoenherr Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480886675",
"country_code": "US",
"telephone_number": "586-439-6243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIENCZAK",
"first_name": "AARON",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MI",
"license": "5201010574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "5201010574",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.