Individual provider Active NPI

Sydney Suzanne Bardzilowski, PT, DPT

  • Physical Therapist
  • Orange, CA
National Provider Identifier
1649753922
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295518 Issued in CA
Practice address
3626 E Chapman Ave
Orange, CA 92869-3847
Phone
(714) 744-4400
Fax
(714) 744-4450
NPI assigned
Sep 12, 2018
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 295518 CA Primary

Addresses

Primary practice location

3626 E Chapman Ave
Orange, CA 92869-3847

Mailing address

313 E Palmyra Ave
Orange, CA 92866-2047
Phone (714) 408-8071

Other practice location 1

26700 Towne Centre Dr Ste 120
Foothill Ranch, CA 92610-2843
Phone (949) 597-2103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208002296 CA Practitioner - Physical Therapist in Private Practice 8022356484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

2400 E Katella Ave
Suite 405
Anaheim, CA 92806-5958
Phone (714) 712-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients

Locations

2400 E Katella Ave
Ste 405
Anaheim, CA 92806
Phone (714) 712-9222

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Organizations & group practices 4

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1649753922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E PALMYRA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662047",
            "telephone_number": "714-408-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693847",
            "telephone_number": "714-744-4400",
            "fax_number": "714-744-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26700 Towne Centre Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Foothill Ranch",
            "state": "CA",
            "postal_code": "926102843",
            "country_code": "US",
            "telephone_number": "949-597-2103",
            "fax_number": "949-597-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDZILOWSKI",
        "first_name": "SYDNEY",
        "middle_name": "SUZANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.