JARED THOMAS KURDUNOWICZ (NPI# 1639781057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639781057 |
| Entity Type | Individual |
| Full Name | JARED THOMAS KURDUNOWICZ |
| Credential | PT |
| Practice Address |
261 Mack Ave Detroit MI 48201-4820 |
| Mailing Address |
261 Mack Ave Detroit MI 48201-3132 |
| Practice Telephone | 3137451100 |
| Mailing Telephone | 3137451100 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501019454 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
261 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-4820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038904 | Scott Richard Millis | Clinical Neuropsychologist | 261 Mack Ave, Rehabilitation Institute of Michigan, Rm 552, Detroit, MI 48201-2417 | 2005-07-26 |
| 1497373211 | Rachel Smith | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2020-07-08 |
| 1083252340 | Abbey Rae Stuhldreher | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-12-18 |
| 1316593452 | Stephanie Hollander | Specialist/Technologist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-08-14 |
| 1801354147 | Jordan Malik Lawal | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-03-06 |
| 1164980553 | Kelsey Ann Vanamberg | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-03-05 |
| 1720545262 | Mahtab Koochaki | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-02-20 |
| 1760954564 | Courtney Meram | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-12-19 |
| 1710457999 | Joyal Dee Pavey | Occupational Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-11-29 |
| 1720556384 | Kristine Nicole Koch | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-11-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228054 | Madison Marie Vanantwerp | Physical Therapist | 293 E Palmer St, Detroit, MI 48202-3823 | 2020-02-26 |
| 1285271171 | Be Well Rehabilitation, LLC | Physical Therapist | 20569 Pierson St, Detroit, MI 48219-1354 | 2019-12-10 |
| 1902370919 | Athletico Ltd | Physical Therapist | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | 2019-01-14 |
| 1417432204 | Raymond Lee Fair | Physical Therapist | 16151 James Couzens Fwy, Detroit, MI 48221-2821 | 2018-09-27 |
| 1437642600 | Francine D Burgess | Physical Therapist | 2025 Orleans St, Detroit, MI 48207-2738 | 2018-06-12 |
| 1710470109 | Jason Carlo Roberts | Physical Therapist | 261 Mack, Detroit, MI 48201 | 2018-06-11 |
| 1952893851 | Julie Conley | Physical Therapist | 17330 Schaefer Hwy, Detroit, MI 48235-4133 | 2018-06-06 |
| 1831691302 | Adele Myszenski | Physical Therapist | 2799 West Grand Boulevard A Basement, Detroit, MI 48202 | 2018-03-01 |
| 1982036257 | Paul Francis Hartmann | Physical Therapist | 434 W Alexandrine St, #206, Detroit, MI 48201-1754 | 2013-08-08 |
| 1851734297 | Vishnu Kodumuru | Physical Therapist | 815 W Grand Blvd, Detroit, MI 48216-1056 | 2013-04-16 |
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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.