Michael George Czerkowicz, P.T.
Individual provider Active NPI Physical Therapist · N Providence, RI
NPI 1992869879 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992869879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT540 (RI)
- Practice address
- 1351 Smith St
N Providence, RI 02911-3340 - Phone
- (401) 353-5520
- Fax
- (401) 353-2909
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT540 | RI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT540 | RI | Yes |
| Physical Therapist | 225100000X | 4441 | MA |
Addresses
Primary practice location
1351 Smith St
N Providence, RI 02911-3340
Mailing address
141 Summer St
Blackstone, MA 01504-1212
Phone (508) 883-1780
Other providers in N Providence, RI
- Angelo B Pharmakidis MD PHD
- Nicholas D Barone
- Bruno Chiropractic Inc.
- David Joseph Bruno
- Karen Dean
- Steven Dilibero
- Edward J Gauthier MD Inc
- Elkins Guzman
- Brooke Hendrick
All providers in N Providence, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.