Bogdan Matuszyk, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007532 Issued in IL

Practice address

736 W 35TH St
Chicago, IL 60616-4484

Phone

(773) 247-2131

NPI assigned

May 20, 2010

Last updated

May 20, 2010By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1417276171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164484",
            "telephone_number": "773-247-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164484",
            "telephone_number": "773-247-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSZYK",
        "first_name": "BOGDAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "070007532",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Matusiak, CPNP-PC
• Deanna Marie Kattah Matusik, AU.D.
• Vanessa Matusin
• Meagan Matuska
• Mary Matuszak, CMMP
• Johmayra Matute
• Estrella Matyas, MD
• Alissa J Matzinger, PT
• Lawrence Paul Maucieri Jr., PH.D.
• Jennifer Margaret Mauck, M.S.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.