Individual provider Active NPI

Stephen L Ung

  • Physical Therapist
  • Clinton TWP, MI
National Provider Identifier
1992212831
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
43475 Dalcoma Dr Ste 140
Clinton TWP, MI 48038-3593
Phone
(586) 488-2440
Fax
(586) 488-2441
NPI assigned
Dec 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 Primary

Addresses

Primary practice location

43475 Dalcoma Dr Ste 140
Clinton TWP, MI 48038-3593

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511000325 MI Practitioner - Physical Therapist in Private Practice 9032473418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Physical Therapy LLCGroup PAC ID 8426312174, 3 clinicians

Practice addresses (Care Compare)

43475 Dalcoma Dr
Suite 250
Clinton Township, MI 48038-3594
Phone (586) 488-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Aquaticare Physical Therapy P.C CurrentSince May 2, 2018 Accepting new patients
Empower Physical Therapy and Fitness PastSince May 2, 2018 Accepting new patients

Locations

20554 Hall Rd
Clinton Twp, MI 48038
Phone (586) 598-1247

15501 Metropolitan Pkwy
Ste 102
Clinton Twp, MI 48036
Phone (586) 228-7000

43475 Dalcoma Dr
Ste 250
Clinton Twp, MI 48038
Phone (586) 436-3785

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

43475 Dalcoma Dr
Ste 140
Clinton Twp, MI 48038
Phone (586) 286-5586

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1992212831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 140",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-488-2440",
            "fax_number": "586-488-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNG",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-31",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.