Individual provider Active NPI

Sylwia Pietrzykowski, L.M.T

  • Contractor
  • Niles, IL
National Provider Identifier
1457768426
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
227.003512 Issued in IL
Practice address
7329 N Harlem Ave
Niles, IL 60714-4252
Phone
(773) 763-0400
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 227.003512 IL Primary

Addresses

Primary practice location

7329 N Harlem Ave
Niles, IL 60714-4252

Mailing address

735 N Lyle Ave
Elgin, IL 60123-2609

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

LicenseStateTypeSpecialty
227.003512ILMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1457768426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N LYLE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 N HARLEM AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144252",
            "telephone_number": "773-763-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRZYKOWSKI",
        "first_name": "SYLWIA",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "227.003512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.