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

Maximilian Kowalski

Individual provider Physical Therapist · NPI 1306585823

Maximilian Kowalski is a Physical Therapist in Private Practice in Macomb, Michigan. Qualified in 2022, 4 years ago. Practices with Hq of St Clair LLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

46591 Romeo Plank Rd
Macomb, MI 48044-5742
Phone: (586) 250-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306585823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address1773 Star Batt Dr, Rochester Hills, MI 48309-3708

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 Hq Of St Clair Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations24 on file with Medicare

Other providers in Macomb