Jadwiga Beata Niedzielska, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015872-1 Issued in NY

Practice address

805 Euclid Ave
Elmira, NY 14901-1920

Phone

(607) 735-0968

NPI assigned

Aug 13, 2008

Last updated

Jul 8, 2014By the provider in NPPES

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horseheads Comprehensive Physical Therapy PC CorpGroup PAC ID 4183879661, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horseheads Comprehensive Physical Therapy, PC, Corp

  • Physical Therapist
  • Horseheads, NY
  • NPI 1689922155
  Medicare reassignment Care Compare group NPD
• Flow Form Function Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1457202780
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1184870966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EUCLID AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EUCLID AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011920",
            "telephone_number": "607-735-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDZIELSKA",
        "first_name": "JADWIGA",
        "middle_name": "BEATA",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015872-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tangneka Miracle Nguyen, PA-C
• Zonya Nicholas, MS, CCC-SLP
• Gary J Nicholson, MD
• Karyn Nickerson, C.N.M.
• Akito Theodore Nicol, DO
• Brittany Lynn Nino, DPM
• Justin Anthony Nistico, D.O.
• Susan Diane Nitschke, NP,RN,MSN,CS,CASAC
• Frank J Nocilla, MD
• Taylor North, DO

• Physical Therapist in Elmira, NY
• Providers in Elmira, 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 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.