Individual provider Active NPI

Xenia Yawdacha Andrzejewski, PT

  • Physical Therapist
  • Plant City, FL
National Provider Identifier
1568614519
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23272 Issued in FL
Practice address
765 W Grant St
Plant City, FL 33563-6810
Phone
(813) 743-3701
NPI assigned
Oct 21, 2008
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 23272 FL Primary

Addresses

Primary practice location

765 W Grant St
Plant City, FL 33563-6810

Mailing address

1925 Dolphin Dr
Belleair Bluffs, FL 33770-2069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181026001134 CA Practitioner - Physical Therapist in Private Practice 5597018218 Reassigns benefits to 2 organizations
I20240502001715 FL Practitioner - Physical Therapist in Private Practice 5597018218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Florida, LLCGroup PAC ID 3274962790, 151 clinicians

Practice addresses (Care Compare)

3400 SE Aster LN
Empowerme Rehabilitation Stuart
Stuart, FL 34994-5516
Phone (877) 367-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23272FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince Apr 26, 2024 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince Apr 26, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Landstuhl Regional Medical Center Past Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402

521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337

24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594

25150 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 698-7720

38605 Calistoga Dr
Ste 140
Murrieta, CA 92563
Phone (951) 304-0879

11276 5th St
Ste 400
Rch Cucamonga, CA 91730
Phone (909) 481-0437

6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600

29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296

12402 Industrial Blvd
Ste B2
Victorville, CA 92395
Phone (760) 955-6061

5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544

765 W Grant St
Plant City, FL 33563
Phone (813) 743-3701

10 S 9th St
Ste 4
Noblesville, IN 46060

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1568614519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 DOLPHIN DR",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W GRANT ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335636810",
            "telephone_number": "813-743-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRZEJEWSKI",
        "first_name": "XENIA",
        "middle_name": "YAWDACHA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.