Individual provider Active NPI

Nicholas Ryan Brzozowski, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1588217145
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-30881 Issued in AZ
Practice address
17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030
Phone
(602) 547-1836
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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-30881 AZ Primary

Addresses

Primary practice location

17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030

Mailing address

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053-2030
Phone (602) 547-1836

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

LicenseStateTypeSpecialty
LPT-30881AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Sports & Spine Physical Therapy-Klahanie PS Past Accepting new patients
Strength Training Inc PastSince Jul 28, 2019 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1588217145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD",
            "address_2": "STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532030",
            "telephone_number": "602-547-1836",
            "fax_number": "602-547-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532030",
            "telephone_number": "602-547-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZOWSKI",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.