Individual provider · Type 1 NPI

Shannon Nowaczewski

Physical Therapy Assistant · Detroit, MI

NPI number 1831051853 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Call (313) 343-3744 Map

Mailing address

23359 N Colonial Ct
St. Clair Shores, MI 48080-2603

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502005028 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

559 other providers at this address

Other physical therapy assistant providers in Detroit

See all in Detroit →

About NPI 1831051853

Shannon Nowaczewski's National Provider Identifier is 1831051853, issued on Nov 28, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Detroit, MI. The record was last updated on Nov 28, 2025.