Ewa Krecisz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12437 Issued in SC

Practice address

148 Foothills Center Dr # 148150
West Union, SC 29696-2518

Phone

(864) 638-6405

NPI assigned

Jan 12, 2007

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 IL, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Strides Physical Therapy and Rehabilitation Limited PartnershipGroup PAC ID 2860498656, 4 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.

• Life Strides Physical Therapy and Rehabilitation Limited Partnership

  • Physical Therapist
  • West Union, SC
  • NPI 1053323402
  Medicare reassignment Care Compare group NPD
• P D Rehab, Inc.

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1487704409

  IL, Physical Therapist

  Medicare reassignment NPD
• Renew Physical Therapy and Wellness LLC

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1891618997
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1073663746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FOOTHILLS CENTER DR # 148150",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962518",
            "telephone_number": "864-638-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FOOTHILLS CENTER DR # 148150",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962518",
            "telephone_number": "864-638-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600563444",
            "country_code": "US",
            "telephone_number": "847-459-4779",
            "fax_number": "847-459-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRECISZ",
        "first_name": "EWA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12437",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hart Harvey, P.T.
• Melissa Poleynard Hubbard
• Ingles Markets Inc
• Karen P Jones, O.T.
• Jeanie Kalden, PHARMACIST
• Karen C Lawrence, RPH
• Life Strides Physical Therapy and Rehabilitation Limited Partnership
• C Fred Marcinak Jr., DMD
• David Medlin, DPT
• Oconee Dental Associates,LLC

• All providers in West Union, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.