BRENTON ROZYCKI (PT, DPT) – Orthopedic Physical Therapist, NPI 1356707343

BRENTON ROZYCKI (PT, DPT) is a healthcare provider. based in Portage, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501015735 (MI). The NPI Number for BRENTON ROZYCKI (PT, DPT) is 1356707343

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRENTON ROZYCKI (PT, DPT)
NPI
1356707343
Phone
Not provided
Address
1423 W CENTRE AVE
Enumeration Date
7 January 2016
Last Update Date
7 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694596212
Graduation Year
2011 (15 years ago)
PAC ID
6901205277
Group Practice PAC ID
9830324482
Professional Enrollment ID
I20210519001754
Address ID
MI490241232PO1908XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for BRENTON ROZYCKI (PT, DPT)

  • 1423 W CENTRE AVE

    PORTAGE, MI 490245323

    Phone:

    Mailing address matches the actual address.

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: 2021-05-19

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
I20210519001754IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes68767$0
97140Therapy procedure using manual technique, each 15 minutes40561$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36943$0
97032Application of electrical stimulation with therapist present, each 15 minutes3117$0
97530Therapy procedure using functional activities2713$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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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: 9830324482View full group profile
NameSpecialtyState
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
-MI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify BRENTON ROZYCKI (PT, DPT) with an NPI only?
You can start verification with NPI 1356707343 for BRENTON ROZYCKI (PT, DPT), then check state licensing separately.
Does CMS list BRENTON ROZYCKI (PT, DPT) as active?
Yes — BRENTON ROZYCKI (PT, DPT) is active in the NPI listing used on this page.
What is BRENTON ROZYCKI (PT, DPT)'s primary classification?
Orthopedic Physical Therapist is the headline specialty for BRENTON ROZYCKI (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRENTON ROZYCKI (PT, DPT)?
BRENTON ROZYCKI (PT, DPT)'s geographic hint is Portage, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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