Brenczewski Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRENCZEWSKI PHYSICAL THERAPY

Practice address

13326 W Creekside Dr
Homer Glen, IL 60491-8670

Phone

(815) 347-8102

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Brenczewski, DPTNPI 1114972932

Title

Physical Therapist

Phone

(815) 347-8102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Brenczewski, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1114972932
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1649923376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13326 W CREEKSIDE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918670",
            "telephone_number": "815-347-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13326 W CREEKSIDE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918670",
            "telephone_number": "815-347-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENCZEWSKI PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "BRENCZEWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-347-8102",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry E Booth, D.D.S., M.S.
• Evan Booth, DDS
• Ryan Elston Booth, DDS
• Nicole Eileen Boswell, MA, LPC, NCC
• Tyler Branson, PHARM.D.
• Edward J. Brennan, D.D.S.
• Derek Brown, PHARMD
• Maria Teresa Brutus
• Diana M Burda, MD
• Anna Renee Burke, MS, CCC-SLP/L

• Physical Therapy Clinic/Center in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.