Individual provider Active NPI

Krzysztof Zembrowski

  • Physical Therapy Assistant
  • Chicago, IL
National Provider Identifier
1144774134
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.006356 Issued in IL
Practice address
877 N Paulina St Apt 2F
Chicago, IL 60622-5069
Phone
(219) 384-0514
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.006356 IL Primary

Addresses

Primary practice location

877 N Paulina St Apt 2F
Chicago, IL 60622-5069

Mailing address

877 N Paulina St Apt 2F
Chicago, IL 60622-5069
Phone (219) 384-0514

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160.006356ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1144774134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 N PAULINA ST APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225069",
            "telephone_number": "219-384-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 N PAULINA ST APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225069",
            "telephone_number": "219-384-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMBROWSKI",
        "first_name": "KRZYSZTOF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.006356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

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