Active NPI
Agnieszka D Kostyra-Strall, PT
- Physical Therapist
- Palatine, IL
National Provider Identifier
1487859252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-010066
- Practice address
- 909 E Palatine Rd
Palatine, IL 60074-5551 - Phone
- (847) 776-1400
- Fax
- (847) 776-1864
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-010066 | IL | Primary |
Addresses
Primary practice location
909 E Palatine Rd
Palatine, IL 60074-5551
Mailing address
909 E Palatine Rd
Palatine, IL 60074-5551
Phone (847) 776-1400
Other names 1
- Agnieszka D Kostyra
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-010066 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| European Therapy Center, LTD. | Physical Therapist | Past | Accepting new patients |
| Premier Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Palatine, IL
- NPI 1093810129
-
- Physical Therapist
- Evergreen Park, IL
- NPI 1336127117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1487859252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 E PALATINE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600745551",
"telephone_number": "847-776-1400",
"fax_number": "847-776-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E PALATINE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600745551",
"telephone_number": "847-776-1400",
"fax_number": "847-776-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTYRA-STRALL",
"first_name": "AGNIESZKA",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-010066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AGNIESZKA",
"last_name": "KOSTYRA",
"middle_name": "D",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.