Agnieszka Adamczyk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2569 Lincoln Ave
Long Grove, IL 60047-5014

Phone

(847) 381-8812

Fax

(847) 381-6311

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Agnieszka Adamczyk Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back2Life Physical Therapy and Wellness

  • Physical Therapist
  • Flower Mound, TX
  • NPI 1912719709
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1003104142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 LINCOLN AVE",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475014",
            "telephone_number": "847-809-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 LINCOLN AVE",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475014",
            "telephone_number": "847-381-8812",
            "fax_number": "847-381-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCZYK",
        "first_name": "AGNIESZKA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNIESZKA",
            "last_name": "ADAMCZYK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Acosta, FNP-C
• Adina Adelman
• Brenda Affinati, M.D.
• Mario Affinati, M.D.
• Jeric Agnes, FNP-BC
• Faiza Saba Ahmed, MD

• Physical Therapist in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.