Malgorzata Zajac-Krupinski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160001839 Issued in IL

Practice address

1226 Ogden Ave
Downers Grove, IL 60515-2740

Phone

(630) 560-4855

Fax

(331) 251-6943

NPI assigned

Jan 8, 2016

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

• Malgotzata Zajac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rehabon LLC

  • Physical Therapist
  • Downers Grove, IL
  • NPI 1699324095
  NPD (past)
• Team Rehabilitation Il03 LLC

  • Physical Therapist
  • Downers Grove, IL
  • NPI 1669878500
  NPD (past)

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1083070874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152740",
            "telephone_number": "630-560-4855",
            "fax_number": "331-251-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC-KRUPINSKI",
        "first_name": "MALGORZATA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160001839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALGOTZATA",
            "last_name": "ZAJAC",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yosif Jabir DDS PC
• Yourthodontist Limited
• Sarah Yousif
• Z. Syed, M.D.
• Zachary T Frazier DDS PC
• James A Zajac, DDS
• Joseph Michael Zajac, DDS
• Emily Zajda, AMFT
• Caitlin Zaremba
• Kristen M Zdany, DNP

• Physical Therapy Assistant in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.