Aneta Magdalena Raczynska, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302318 Issued in CA

Practice address

3658 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-6883

Phone

(925) 284-6150

NPI assigned

Jun 30, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1396477907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CIVIC DR STE 100",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231946",
            "telephone_number": "925-284-6150",
            "fax_number": "855-814-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 MT DIABLO BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945496883",
            "telephone_number": "925-284-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZYNSKA",
        "first_name": "ANETA",
        "middle_name": "MAGDALENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD OF CALIFORNIA",
            "identifier": "302318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.