Individual provider Active NPI

Oliwia M Juszczyk, PT DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1114683034
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047909-1 Issued in NY
Practice address
62 E 88TH St FL LL
New York, NY 10128-1151
Phone
(212) 988-2501
NPI assigned
Nov 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 047909-1 NY Primary

Addresses

Primary practice location

62 E 88TH St FL LL
New York, NY 10128-1151

Mailing address

815 2ND Ave RM 701
New York, NY 10017-4500
Phone (212) 499-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047909-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1600 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-9677

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

1083 W Baltimore Pike
Ste E
Media, PA 19063
Phone (484) 214-4080

1083 W Baltimore Pike
Bldg C106
Media, PA 19063
Phone (484) 214-4080

1528 Walnut St
Ste 1210
Philadelphia, PA 19102
Phone (215) 839-0989

2000 Hamilton St
Ste 211
Philadelphia, PA 19130
Phone (215) 383-0220

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1114683034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 2ND AVE RM 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174500",
            "telephone_number": "212-499-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E 88TH ST FL LL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281151",
            "telephone_number": "212-988-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSZCZYK",
        "first_name": "OLIWIA",
        "middle_name": "M",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047909-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.