Katarzyna Magdalena Golebiewska

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303117 Issued in CA

Practice address

965 E Yosemite Ave Ste 14
Manteca, CA 95336-5943

Phone

(209) 823-3736

Fax

(209) 823-3736

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1730898586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E YOSEMITE AVE STE 14",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365943",
            "telephone_number": "209-823-3736",
            "fax_number": "209-823-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E YOSEMITE AVE STE 14",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365943",
            "telephone_number": "209-823-3736",
            "fax_number": "209-823-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEBIEWSKA",
        "first_name": "KATARZYNA",
        "middle_name": "MAGDALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kgolebiewska@vibrancare.com",
            "affiliation": "N",
            "address_1": "1124 Mill Way",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952094369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Manteca, CA
• Providers in Manteca, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.