Violetta Chyc-Olesiak, DPT – Physical Therapist

Key facts

NPI: 1598059669
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 40QA01394500 (NJ)
Practice address: 2 Emery Ave
Randolph, NJ 07869-1368
Phone: (973) 895-9925
Fax: (973) 895-9927
NPI assigned: Jun 6, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Star PT, LLC Physical Therapist · Summit, NJ · NPI 1942574439

NPD PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
40QA01394500	NJ	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Star PT, LLC	Physical Therapist	Current since Apr 23, 2012	Accepting new patients

Locations

469 Morris Ave
Ste 3
Summit, NJ 07901
Phone (908) 608-9200

308 Broad St
Summit, NJ 07901
Phone (201) 463-8436

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	40QA01394500	NJ	Yes

Addresses

Primary practice location

2 Emery Ave
Randolph, NJ 07869-1368

Mailing address

2 Emery Ave
Randolph, NJ 07869-1368
Phone (973) 895-9925

Other providers in Randolph, NJ

All providers in Randolph, NJ · Physical Therapist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.