MR. RONALD SCOTT RADAWIEC (PT, CBIS) – Physical Therapist, NPI 1255411971

MR. RONALD SCOTT RADAWIEC (PT, CBIS) is a healthcare provider. based in Lake city, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CBIS. They hold a License No. 5501003471 (MI). The NPI Number for MR. RONALD SCOTT RADAWIEC (PT, CBIS) is 1255411971

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MR. RONALD SCOTT RADAWIEC (PT, CBIS)
NPI
1255411971
Phone
(231) 775-3081
Address
1900 S LACHANCE RD
Enumeration Date
17 October 2006
Last Update Date
18 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173366060
Graduation Year
1987 (39 years ago)
PAC ID
8628161346
Group Practice PAC ID
9133370430
Professional Enrollment ID
I20070911000254
Address ID
MI488549425MA3181XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MR. RONALD SCOTT RADAWIEC (PT, CBIS)

  • South LaChance Road, Lake Township, Missaukee County, Michigan, United States

    LAKE CITY, MI 496518022

    Phone: (231) 775-3081

    Fax: (231) 775-7740

    Type: Mailing

  • Sandhill Road, Point Pleasant, Mason County, West Virginia, 25550, United States

    MASON, MI 488549425

    Phone: (517) 455-0262

    Fax: (517) 336-6050

    Type: Location

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: 2007-09-11

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
I20070911000254IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49651)

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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: 9133370430View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
Clinical Social WorkerMI
Qualified Speech Language PathologistMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Clinical Social WorkerMI
Qualified Speech Language PathologistMI

Reviews

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Frequently asked questions

Is there an official ID for MR. RONALD SCOTT RADAWIEC (PT, CBIS) in U.S. healthcare records?
The official identifier for MR. RONALD SCOTT RADAWIEC (PT, CBIS) is NPI 1255411971.
Active or inactive — what applies to MR. RONALD SCOTT RADAWIEC (PT, CBIS)?
You should see MR. RONALD SCOTT RADAWIEC (PT, CBIS) as active in CMS-hosted NPPES data.
What area of care is associated with MR. RONALD SCOTT RADAWIEC (PT, CBIS)?
MR. RONALD SCOTT RADAWIEC (PT, CBIS)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Michigan is MR. RONALD SCOTT RADAWIEC (PT, CBIS) registered?
Use Lake City, Michigan as the headline location for MR. RONALD SCOTT RADAWIEC (PT, CBIS) here.
Can I trust this NPI listing for MR. RONALD SCOTT RADAWIEC (PT, CBIS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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