Brian Trzaskos, PT, LMT, CSCS, CMP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013882 Issued in NY

Practice address

2310 Main Street
Essex, NY 12936-0000

Phone

(518) 534-3903

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782
  NPD (past)
• Sports, Orthopedic and Spine Rehabilitation, P.T. P.C.

  • Physical Therapist
  • Plattsburgh, NY
  • NPI 1912991761
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1154468247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 TUNNEL LN",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129963628",
            "telephone_number": "518-534-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MAIN STREET",
            "city": "ESSEX",
            "state": "NY",
            "postal_code": "129360000",
            "telephone_number": "518-534-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZASKOS",
        "first_name": "BRIAN",
        "credential": "PT, LMT, CSCS, CMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013882",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4663",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "0183651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associated Community Action of the North East Adirondack Region, Inc.
• Margaret Anne Barkman, MFT
• Darla K Breckenridge, M.ED.
• Josh Schwartzberg D.O.
• Kristen Hatch, PT
• Willsboro-Essex EMS Inc.

• Physical Therapist in Essex, NY
• Providers in Essex, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.