Individual provider Active NPI

Ewa Gabriela Gasiorowski, PT

  • Physical Therapist
  • Terre Haute, IN
National Provider Identifier
1750457065
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004646A Issued in IN
Practice address
619 E Springhill Dr
Terre Haute, IN 47802-4448
Phone
(812) 232-3504
Fax
(812) 232-6396
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 05004646A IN Primary

Addresses

Primary practice location

619 E Springhill Dr
Terre Haute, IN 47802-4448

Mailing address

619 E Springhill Dr
Terre Haute, IN 47802-4448
Phone (812) 232-3504

Other names 1

  • Ewa Gabriela Wardyga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1750457065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024448",
            "telephone_number": "812-232-3504",
            "fax_number": "812-232-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E SPRINGHILL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024448",
            "telephone_number": "812-232-3504",
            "fax_number": "812-232-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIOROWSKI",
        "first_name": "EWA",
        "middle_name": "GABRIELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004646A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EWA",
            "last_name": "WARDYGA",
            "middle_name": "GABRIELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.