MR. JOHN M ANDRAKA (DPT) – Physical Therapist, NPI 1639241680

MR. JOHN M ANDRAKA (DPT) is a healthcare provider. based in Mt pleasant, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501014186 (MI). The NPI Number for MR. JOHN M ANDRAKA (DPT) is 1639241680

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN M ANDRAKA (DPT)
NPI
1639241680
Phone
(989) 774-3904
Address
1101 HEALTH PROFESSIONS BLDG
Enumeration Date
14 November 2006
Last Update Date
23 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897743904
Graduation Year
2003 (23 years ago)
PAC ID
7012095243
Group Practice PAC ID
3577558907
Professional Enrollment ID
I20131217002031
Address ID
MI488590001MT1101XBLDG400
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. JOHN M ANDRAKA (DPT)

  • Health Professions Building, East Preston Street, Mount Pleasant, Isabella County, Michigan, 48858, United States

    MT PLEASANT, MI 488590001

    Phone: (989) 774-3904

    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: 2013-12-17

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
I20131217002031IPhysical 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 48859)

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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: 3577558907View full group profile
NameSpecialtyState
Qualified AudiologistMI
-MI
Physician AssistantMI
Physical Therapist In Private PracticeMI
Qualified AudiologistMI
Qualified AudiologistMI
Physical Therapist In Private PracticeAZ
Qualified AudiologistMI
P S Y C H I A T R YOH
Qualified AudiologistMI

Reviews

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Frequently asked questions

What NPI should I save for MR. JOHN M ANDRAKA (DPT)?
Save NPI 1639241680 if you need a stable reference for MR. JOHN M ANDRAKA (DPT).
Is MR. JOHN M ANDRAKA (DPT)'s NPI currently valid?
The extract we use shows MR. JOHN M ANDRAKA (DPT) as active.
What kind of provider is MR. JOHN M ANDRAKA (DPT)?
The page reflects Physical Therapist for MR. JOHN M ANDRAKA (DPT). Clinical services aligned with this taxonomy classification.
Does MR. JOHN M ANDRAKA (DPT) practice in Michigan?
You will see Mt Pleasant, Michigan on file for MR. JOHN M ANDRAKA (DPT) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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