Agnieszka Krynska-Wozniak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004115A Issued in IN

Practice address

8701 Broadway
Merrillville, IN 46410-7035

Phone

(219) 738-3500

Fax

(219) 738-6624

NPI assigned

Jul 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1104434091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-3500",
            "fax_number": "219-738-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-3500",
            "fax_number": "219-738-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYNSKA-WOZNIAK",
        "first_name": "AGNIESZKA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004115A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Kowalski, FNP-C
• Clark Kramer, M.D.
• Kelly Jo Kraus, RPH
• Jean Racquel Krause, RN, IBCLC
• Krishnan Potti, M.D.
• Michael Edward Kucharzak
• Justin William Kucsera, O.D.
• David John Kujawa, LCSW
• Abdulkader M Kulam, M.D.
• Rajiv Kumar, M.D.

• Physical Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.