Brynwood Myofascial Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BRYNWOOD MYOFASCIAL THERAPY

Practice address

6072 Brynwood Dr
Suite 102
Rockford, IL 61114-5829

Phone

(815) 904-6163

Fax

(815) 904-6516

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Malgorzata Zasadny, PTNPI 1891021952

Title

Physical Therapist/Owner

Phone

(815) 904-6163

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malgorzata Zasadny, P.T.

  • Physical Therapist
  • Rockford, IL
  • NPI 1891021952
  Medicare reassignment Care Compare group NPD Authorized official
• Andrzej Zasadny, PHYSICAL THERAPIST

  • Physical Therapist
  • Rockford, IL
  • NPI 1669000287

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1134485501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6072 BRYNWOOD DR",
            "address_2": "SUITE 102",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145829",
            "telephone_number": "815-904-6163",
            "fax_number": "815-904-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 BRYNWOOD DR",
            "address_2": "SUITE 102",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145829",
            "telephone_number": "815-904-6163",
            "fax_number": "815-904-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYNWOOD MYOFASCIAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "ZASADNY",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "815-904-6163",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ela@brynwoodmyofascial.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6072 Brynwood Dr",
            "address_2": "Suite 102",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611145829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia O Brush
• Amy Bruyn, LCPC
• George T Bryan Jr., MD
• Suzanne E Bryant, N.P.
• Brynwood Counseling Inc.
• Jurate Marija Bucha, M.D.
• Amy Joy Buchenau, APN
• Lawrence Edward Buckman III, C PED.
• Francine Buhendwa
• Jennifer Buhl

• Physical Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.