Kathryn Dziwulski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13289 Issued in TN

Practice address

1272 Garrison Dr Ste 303
Murfreesboro, TN 37129-0053

Phone

(615) 849-9358

Fax

(615) 849-9360

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of Ny Upstate Medical University, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Spine and Physical Medicine, PCGroup PAC ID 1456575141, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Riverside Spine & Physical Medicine, PC

  • Orthopaedic Surgery Physician
  • Clarksville, TN
  • NPI 1720407570
  Medicare reassignment Care Compare group NPD
• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948
  Medicare reassignment NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1043853872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR STE 303",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290053",
            "telephone_number": "615-849-9358",
            "fax_number": "615-849-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3780 COMMERCE CT STE 300",
            "address_purpose": "LOCATION",
            "city": "Wheatfield",
            "state": "NY",
            "postal_code": "141201412",
            "country_code": "US",
            "telephone_number": "716-282-2888",
            "fax_number": "716-285-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIWULSKI",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Magarete Dyle, MSN,APRN, FNP-C,CWCN
• Frances A. Dylejko, RN
• Dynamic Chiropractic Clinics
• Dynamic Chiropractic Clinics
• Dynamic Medical Center of Murfreesboro PLC
• E&R Urgent Care PLLC
• Jaime Elizabeth Earnhardt
• Alyssia Easley
• East Clark Medical PC
• Emily Easterly, DNP

• Physical Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.