Active NPI
Mariola Grzybowska, PT,DPT
- Physical Therapist
- Elgin, IL
National Provider Identifier
1316537590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022309
- Practice address
- 1425 N Randall Rd
Elgin, IL 60123-2300 - Phone
- (224) 783-6128
- NPI assigned
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.022309 | IL | Primary |
Addresses
Primary practice location
1425 N Randall Rd
Elgin, IL 60123-2300
Mailing address
1723 Pebble Beach CT
Hoffman Estates, IL 60169-1159
Phone (630) 290-3426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.022309 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1316537590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 PEBBLE BEACH CT",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601691159",
"telephone_number": "630-290-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232300",
"telephone_number": "224-783-6128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRZYBOWSKA",
"first_name": "MARIOLA",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
- Griswold Home Care
- Jessica Elaine Gronewold, DPT
- Joyce Gronewold
- Stephen Alfred Grossman, MD
- Chris Gruber, M.D.
- GT Plastic and Reconstructive Surgery, S.C. (Midwest Plastic Surgery Specialists)
- Stephanie Sarai Guadarrama, M.A., LPC
- Kathleen Sofen Guerra, PA-C
- Rosalina Guerrero-Guzman, MD
- Herald Guinto
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.