Individual provider Active NPI

Barbara Katarzyna Wojaczek, P.T.

  • Physical Therapist
  • Smithtown, NY
National Provider Identifier
1649599606
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018081 Issued in NY
Practice address
100 Smithtown Blvd
Smithtown, NY 11787-5115
Phone
(631) 356-2412
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2010

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 018081 NY Primary

Addresses

Primary practice location

100 Smithtown Blvd
Smithtown, NY 11787-5115

Mailing address

100 Smithtown Blvd
Smithtown, NY 11787-5115
Phone (631) 356-2412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191007002867 NY Practitioner - Physical Therapist in Private Practice 6406005354 Practice locations: Hensonville, NY; Windham, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

675 Round Hill Rd
Hensonville, NY 12439-5142
Phone (631) 356-2412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1649599606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SMITHTOWN BLVD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875115",
            "telephone_number": "631-356-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITHTOWN BLVD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875115",
            "telephone_number": "631-356-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJACZEK",
        "first_name": "BARBARA",
        "middle_name": "KATARZYNA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.