Individual provider Active NPI

Jacqueline Urbanczyk, MPT

  • Physical Therapist
  • Martinez, CA
National Provider Identifier
1295747434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012038 Issued in MI
Practice address
150 Muir Rd
VA-Center for Rehabilitation and Extended Care
Martinez, CA 94553-4668
Phone
(925) 370-4737
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501012038 MI Primary

Addresses

Primary practice location

150 Muir Rd
VA-Center for Rehabilitation and Extended Care
Martinez, CA 94553-4668

Mailing address

150 Muir Rd
VA-Center for Rehabilitation and Extended Care
Martinez, CA 94553-4668

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000357 CO Practitioner - Physical Therapist in Private Practice 4385152925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501012038MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A C Enterprises, LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295747434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MUIR RD",
            "address_2": "VA-CENTER FOR REHABILITATION AND EXTENDED CARE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUIR RD",
            "address_2": "VA-CENTER FOR REHABILITATION AND EXTENDED CARE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534668",
            "telephone_number": "925-370-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANCZYK",
        "first_name": "JACQUELINE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.