Individual provider Active NPI

Theodore K. Trzynka, ATC

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Saint Paul, MN
National Provider Identifier
1295271054
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
1521 Issued in MN
Practice address
1282 Concordia Ave
Saint Paul, MN 55104-5479
Phone
(651) 641-8853
Fax
(651) 641-8787
NPI assigned
Jan 17, 2017
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 1521 MN Primary

Addresses

Primary practice location

1282 Concordia Ave
Saint Paul, MN 55104-5479

Mailing address

1282 Concordia Ave
Saint Paul, MN 55104-5479
Phone (651) 641-8853

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

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1295271054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 CONCORDIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045479",
            "telephone_number": "651-641-8853",
            "fax_number": "651-641-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 CONCORDIA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551045479",
            "telephone_number": "651-641-8853",
            "fax_number": "651-641-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZYNKA",
        "first_name": "THEODORE",
        "middle_name": "K.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "MN",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.