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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181610 | TX | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agave Home Health LLC | Current |
Accepting new patients |
Locations
610 E Holland Ave
Alpine, TX 79830
Phone (432) 837-5907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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All providers in Austin, TX · Geriatric Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.