Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Burcicki, PT, DPT

Individual provider Physical Therapist · NPI 1336853191

Jacob Burcicki, PT, DPT is a Physical Therapist in Private Practice in Novi, Michigan. Qualified in 2022, 4 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

39575 W 10 Mile Rd Ste 201
Novi, MI 48375-2949
Phone: (248) 516-7250
Fax: (248) 516-7251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501302451 (MI)

Record details

NPI number1336853191
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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