Sabina Jolanta Boies
Individual provider Active NPI Physical Therapy Assistant · Midway, UT
NPI 1386017945 · NPPES record last updated Nov 4, 2015
Key facts
- NPI
- 1386017945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 11375A (AZ)
- Practice address
- 1420 W Geneva Dr
Midway, UT 84049 - Phone
- (847) 638-0639
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11375A | AZ | MD | Physical Therapy Assistant |
| 160.006231 | IL | MD | Physical Therapy Assistant |
| 8719908-2402 | UT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 11375A | AZ | Yes |
| Physical Therapy Assistant | 225200000X | 8719908-2402 | UT | |
| Physical Therapy Assistant | 225200000X | 160.006231 | IL |
Addresses
Primary practice location
1420 W Geneva Dr
Midway, UT 84049
Mailing address
PO Box 814
1420 W Geneva Dr
Midway, UT 84049
Phone (847) 638-0639
Other names
- Sabina Jolanta Moniuszko
Other providers in Midway, UT
- Acqua Recovery LLC
- Darren Adamson
- Alpine Treatment Services, LLC
- Gloria E Anderson
- Judith Kapler Bishop
- Jack L Brauer
- Cannon Therapeutic
- Hannah Carter
- Cascade Academy
- Neil Drew Christensen
All providers in Midway, UT · Physical Therapy Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2015. 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.