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

Shannon Nowaczewski

Individual provider Physical Therapy Assistant · NPI 1831051853

Shannon Nowaczewski is a Physical Therapy Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-3744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502005028 (MI)

Record details

NPI number1831051853
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address23359 N Colonial Ct, Saint Clair Shores, MI 48080-2603

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