Krzysztof P Wodzien, PTA, PBT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.006692 Issued in IL

Practice address

5401 N Milwaukee Ave Apt 1B
Chicago, IL 60630-1200

Phone

(773) 895-3589

NPI assigned

Jan 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Christopher P Wodzien Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1679962989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N MILWAUKEE AVE APT 1B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301200",
            "telephone_number": "773-895-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N MILWAUKEE AVE APT 1B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301200",
            "telephone_number": "773-895-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODZIEN",
        "first_name": "KRZYSZTOF",
        "middle_name": "P",
        "credential": "PTA, PBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.006692",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": "34950-25299956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "WODZIEN",
            "middle_name": "P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natalie Wnek, APRN
• Julia Helena Wnorowska, MD
• Sylwia Wnuk
• Wocc, NFP
• Nicole F Wodka, DPT
• Jessica Woehrmyer
• Bonnie Lane Woeltjen, PA-C
• Erica Wofford, WHNP-BC
• Malori Wofford, MSW QMHP
• Timothy R Wohl, DPT

• Physical Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.