Susan Krawczyk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007442 Issued in CT

Practice address

59 Harrington CT
Colchester, CT 06415-1207

Phone

(860) 537-2339

NPI assigned

Oct 21, 2009

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Powerback Rehabilitation LLC

  dba Powerback Rehabilitation

  • Physical Therapist
  • Glastonbury, CT
  • NPI 1174493126
  Medicare reassignment

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1487980744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 HARRINGTON CT",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151207",
            "telephone_number": "860-537-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HARRINGTON CT",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151207",
            "telephone_number": "860-537-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyanne King
• Nancy Kommer, PTA
• Adam Michael Koropatkin
• Tara Lyn Kowalski
• Helena M Kozel, LPC
• Alicia Krol, M.S., BCBA
• Kaycee Lynn Krummel
• Laura Kwon, M.D.
• Bethany A Ladd, DPT
• Steven Charrles Lakes

• Physical Therapist in Colchester, CT
• Providers in Colchester, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.