Individual provider Active NPI

Alina Kulczycki, PT, DPT.

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1659511756
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
116160 Issued in TX
Practice address
9518 Wahada Ave
San Antonio, TX 78217-5033
Phone
(210) 563-1070
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 116160 TX Primary

Addresses

Primary practice location

9518 Wahada Ave
San Antonio, TX 78217-5033

Mailing address

9518 Wahada Ave
San Antonio, TX 78217-5033
Phone (210) 563-1070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001622 TX Practitioner - Physical Therapist in Private Practice 2365701562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116160TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1659511756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 WAHADA AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175033",
            "telephone_number": "210-563-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 WAHADA AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175033",
            "telephone_number": "210-563-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULCZYCKI",
        "first_name": "ALINA",
        "credential": "PT, DPT.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "116160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.