Active NPI
Joseph Janiczek, LMT
- Mechanotherapist
- Ridge Manor, FL
National Provider Identifier
1003041922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA44165
- Practice address
- 34413 Whispering Oaks Blvd
Ridge Manor, FL 33523-8958 - Phone
- (813) 624-3700
- Fax
- (352) 583-6379
- NPI assigned
- May 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA44165 | FL | Primary |
Addresses
Primary practice location
34413 Whispering Oaks Blvd
Ridge Manor, FL 33523-8958
Mailing address
34413 Whispering Oaks Blvd
Ridge Manor, FL 33523-8958
Phone (813) 624-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA44165 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1003041922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34413 WHISPERING OAKS BLVD",
"city": "RIDGE MANOR",
"state": "FL",
"postal_code": "335238958",
"telephone_number": "813-624-3700",
"fax_number": "352-583-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34413 WHISPERING OAKS BLVD",
"city": "RIDGE MANOR",
"state": "FL",
"postal_code": "335238958",
"telephone_number": "813-624-3700",
"fax_number": "352-583-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANICZEK",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA44165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridge Manor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.