Individual provider Active NPI

Michael Rykaczewski, PT, DPT, OCS

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1295335545
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1617 John F Kennedy Blvd Ste 1100
Philadelphia, PA 19103-1826
Phone
(215) 988-9503
Fax
(159) 889-5332
NPI assigned
Oct 27, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1617 John F Kennedy Blvd Ste 1100
Philadelphia, PA 19103-1826

Mailing address

1617 John F Kennedy Blvd Ste 1100
Philadelphia, PA 19103-1826
Phone (215) 988-9503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113000284 PA Practitioner - Physical Therapist in Private Practice 0648680074 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mishock Physical Therapy LP Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Dec 14, 2020 Accepting new patients
Weinerman Pain & Wellness CurrentSince Dec 3, 2023 Accepting new patients
Mishock Physical Therapy LP Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Weinerman Pain and Wellness, LLC Current Accepting new patients

Locations

560 N Route 100
Bechtelsville, PA 19505
Phone (610) 845-5000

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1806 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

466 Germantown Pike
Ste 200
Lafayette Hill, PA 19444
Phone (610) 832-7510

1617 John F Kennedy Blvd
Ste 1100
Philadelphia, PA 19103
Phone (215) 988-9503

131 Nutt Rd
Phoenixville, PA 19460
Phone (610) 933-3371

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1295335545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 JOHN F KENNEDY BLVD STE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031826",
            "telephone_number": "215-988-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 JOHN F KENNEDY BLVD STE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031826",
            "telephone_number": "215-988-9503",
            "fax_number": "159-889-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKACZEWSKI",
        "first_name": "MICHAEL",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.