Individual provider Active NPI

Jennifer Przybylski

  • Physical Therapist
  • Queen Creek, AZ
National Provider Identifier
1457925935
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31743 Issued in AZ
Practice address
19640 E Via del Rancho
Queen Creek, AZ 85142-4087
Phone
(602) 677-4281
NPI assigned
May 18, 2021
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-31743 AZ Primary

Addresses

Primary practice location

19640 E Via del Rancho
Queen Creek, AZ 85142-4087

Mailing address

19640 E Via del Rancho
Queen Creek, AZ 85142-4087
Phone (602) 677-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920001813 AZ Practitioner - Physical Therapist in Private Practice 0446657332 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Sep 1, 2021 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Sep 1, 2021 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC Physical Therapist PastSince May 25, 2021 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist Past Accepting new patients
Essential Therapy Solutions, LLC Past Accepting new patients

Locations

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 285-4565

2225 W Southern Ave
Ste A
Mesa, AZ 85202
Phone (480) 462-3880

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

6200 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 730-0501

265 W Ina Rd
Ste 103
Tucson, AZ 85704
Phone (520) 462-0510

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1457925935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19640 E VIA DEL RANCHO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424087",
            "telephone_number": "602-677-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19640 E VIA DEL RANCHO",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424087",
            "telephone_number": "602-677-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLSKI",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.