Natalie Niedzwiedz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291129 Issued in CA

Practice address

8665 La Mesa Blvd
La Mesa, CA 91942-9503

Phone

(619) 465-0702

NPI assigned

Mar 31, 2020

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1396373700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 PELL PL UNIT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304140",
            "telephone_number": "925-330-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919429503",
            "telephone_number": "619-465-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDZWIEDZ",
        "first_name": "NATALIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Quoc Nguyen
• Van Anh Nguyen, PHARM.D.
• Vinh Duc Nguyen, M.D.
• Samantha Nichols
• Jessica Brooke Niebrugge, PT
• Nightingale Home Care, Inc.
• Mastaneh Nikravesh, MD
• Rhealynn Sison Nofuente, FNP-C
• Christine Mae Nordling, MD
• Rileigh Olivia Norman, PA-C

• Physical Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.