Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1407973258
Michael D. NanzerD.P.T.
Active
NPI Number1407973258
NPI TypeNPI-1 Individual
SpecialtyPhysical Therapist
Provider Details
NPI1407973258
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-03-26
Last Updated2014-06-20
Mailing Address5439 Woodcreek Dr
Clarkston, MI 48348-4850
United States
Phone: (248) 481-3144
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Primary Practice Address6071 W Outer Dr
Detroit, MI 48235-2624
United States
Phone: (313) 966-6080
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes225100000X – Physical TherapistMI5501011814
No225100000X – Physical TherapistFLPT27795
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About NPI 1407973258

Michael D. Nanzer D.P.T. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407973258. The primary specialty listed is Physical Therapist. The provider is located in Detroit, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407973258?

NPI 1407973258 belongs to Michael D. Nanzer D.P.T., a Physical Therapist in Detroit, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407973258 active?

The current status of NPI 1407973258 in the NPPES registry is Active. The record was last updated on 2014-06-20.

What specialty is NPI 1407973258?

NPI 1407973258 is classified under the taxonomy Physical Therapist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407973258?

You can verify NPI 1407973258 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407973258?

The primary practice address on file for NPI 1407973258 is 6071 W Outer Dr, Detroit, MI 48235-2624. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407973258 issued?

NPI 1407973258 was first issued (enumerated) on 2007-03-26. The NPPES record was last updated on 2014-06-20.

Practice Location Map

Michael D. Nanzer is located at 6071 W Outer Dr, Detroit, MI. Use the map below to find directions or verify the practice location.

📍 6071 W Outer Dr, Detroit, MI 48235-2624  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Michael D. Nanzer. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1407973258. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physical Therapist5501011814MI
Physical TherapistPT27795FL
Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162