Active NPI
Christopher Allen Nawrocki, M.S.P.T., OCS
- Physical Therapist
- Grand Rapids, MI
National Provider Identifier
1972678076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007460
- Practice address
- 5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808 - Phone
- (616) 954-0950
- Fax
- (616) 954-1728
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
MI
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1568416337
Physical Therapist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727001399 | MI | Practitioner - Physical Therapist in Private Practice | 4486566437 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501007460 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501007460 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Mailing address
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
Phone (616) 954-0950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972678076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 CASCADE RD SE",
"address_2": "SUITE A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463808",
"telephone_number": "616-954-0950",
"fax_number": "616-954-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 CASCADE RD SE",
"address_2": "SUITE A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463808",
"telephone_number": "616-954-0950",
"fax_number": "616-954-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWROCKI",
"first_name": "CHRISTOPHER",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.S.P.T., OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501007460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.