LANCE THADDEUS WOZNIAK (P.T., D.P.T.) – Physical Therapist, NPI 1164574935

LANCE THADDEUS WOZNIAK (P.T., D.P.T.) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T., D.P.T.. They hold a License No. 5501011569 (MI). The NPI Number for LANCE THADDEUS WOZNIAK (P.T., D.P.T.) is 1164574935

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
LANCE THADDEUS WOZNIAK (P.T., D.P.T.)
NPI
1164574935
Phone
(248) 988-8085
Address
PO BOX 772039
Enumeration Date
18 January 2007
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107717631
Graduation Year
2002 (24 years ago)
PAC ID
7416052667
Group Practice PAC ID
6204730393
Professional Enrollment ID
I20070417000223
Address ID
MI484391830GR12787STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for LANCE THADDEUS WOZNIAK (P.T., D.P.T.)

  • PO BOX 772039

    DETROIT, MI 48277

    Phone: (248) 988-8085

    Fax: (248) 988-8565

    Type: Mailing

  • West 13 Mile Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48025, United States

    BINGHAM FARMS, MI 480254345

    Phone: (248) 988-8085

    Fax: (248) 988-8565

    Type: Location

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070417000223IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,29149$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58149$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes18129$0
97140Therapy procedure using manual technique, each 15 minutes14932$0
97161Evaluation for physical therapy, typically 20 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 48277)

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Provider's Procedures

LANCE THADDEUS WOZNIAK (P.T., D.P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes89080

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204730393View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
-IL
Occupational Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for LANCE THADDEUS WOZNIAK (P.T., D.P.T.)?
Save NPI 1164574935 if you need a stable reference for LANCE THADDEUS WOZNIAK (P.T., D.P.T.).
Is LANCE THADDEUS WOZNIAK (P.T., D.P.T.) active in the national directory?
LANCE THADDEUS WOZNIAK (P.T., D.P.T.)'s public NPI profile is in an active state.
Does LANCE THADDEUS WOZNIAK (P.T., D.P.T.) list a primary specialty?
If you are matching referrals, note Physical Therapist for LANCE THADDEUS WOZNIAK (P.T., D.P.T.). Clinical services aligned with this taxonomy classification.
Where is LANCE THADDEUS WOZNIAK (P.T., D.P.T.)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for LANCE THADDEUS WOZNIAK (P.T., D.P.T.).
How can I contact LANCE THADDEUS WOZNIAK (P.T., D.P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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