BRENTON ROZYCKI (NPI# 1356707343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356707343 |
| Entity Type | Individual |
| Full Name | BRENTON ROZYCKI |
| Credential | PT, DPT |
| Practice Address |
1423 W Centre Ave Portage MI 49024-5323 |
| Practice Telephone | 2693234300 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5501015735 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1423 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962499855 | Physical Therapy One, P.C. | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5351 | 2005-10-05 |
| 1518573518 | Peregrine Joseph Burke-mcallister | Physical Therapy Assistant | 1423 W Centre Ave, Portage, MI 49024-5323 | 2020-09-16 |
| 1407404957 | Jordan Henning | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2019-08-28 |
| 1891163036 | Keesha Shankle | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2015-09-04 |
| 1336522762 | Heather Strefling | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2015-07-02 |
| 1720485311 | Kate Alison Maurer | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2014-11-25 |
| 1063796480 | Megan Laura Cooper | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5351 | 2011-10-04 |
| 1386833648 | Jean Marie Smith | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5351 | 2007-10-23 |
| 1881888246 | Mary C Norris | Physical Therapy Assistant | 1423 W Centre Ave, Portage, MI 49024-5351 | 2007-08-29 |
| 1366635559 | Shadrack E Spears | Physical Therapy Assistant | 1423 W Centre Ave, Portage, MI 49024-5351 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1093761314 | Rajendra C Sharma | Physical Therapist | 5811 S Westnedge Ave, Portage, MI 49002-1456 | 2006-05-26 |
| 1295259208 | Allyson Lowis | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024 | 2017-08-01 |
| 1891163036 | Keesha Shankle | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5323 | 2015-09-04 |
| 1508269515 | Casey Bennett | Physical Therapist | 5717 Oakland Dr, Portage, MI 49024-1116 | 2014-10-03 |
| 1700197332 | Sandra Lee Woodworth | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2010-06-29 |
| 1710003157 | Joseph Bruce Walters | Physical Therapist | 1423 W Centre Ave, Portage, MI 49024-5351 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
| 1508368903 | John Paul Guidarelli | Physical Therapist | St. Mary's of Michigan, 9900 Birch Run Road, Birch Run, MI 48415 | 2018-03-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.