Bozena Janina Mrozek, PT

Individual provider Active NPI Geriatric Physical Therapist · Austin, TX

NPI 1306048079 · NPPES record last updated Sep 21, 2023

Key facts

NPI
1306048079
Entity type
Individual (NPI type 1)
Primary specialty
Geriatric Physical Therapist 2251G0304X
License
181610 (TX)
Practice address
1034 Liberty Park Dr
Austin, TX 78746-6891
Phone
(512) 328-3775
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
181610TXMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Home Health LLC Current
since Oct 1, 2022
Accepting new patients

Locations

610 E Holland Ave
Alpine, TX 79830
Phone (432) 837-5907

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 181610 TX Yes

Addresses

Primary practice location

1034 Liberty Park Dr
Austin, TX 78746-6891

Mailing address

300 Hidden Oaks Rd
Wimberley, TX 78676-6434
Phone (512) 751-1305

Other providers in Austin, TX

All providers in Austin, TX · Geriatric Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.