Organization Active NPI

Krzysztof Cierniak, LLC

Doing business as Art of Healing PT

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1770836520
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 20582 Issued in FL
Legal business name
KRZYSZTOF CIERNIAK, LLC
Doing business as
Art of Healing PT
Practice address
1500 E Venice Ave Unit 304
Venice, FL 34292-1665
Phone
(941) 412-1247
Fax
(941) 870-8509
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Krzysztof Cierniak, PTNPI 1336436492
Title
Manager
Phone
(941) 412-1247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 20582 FL Primary

Addresses

Primary practice location

1500 E Venice Ave Unit 304
Venice, FL 34292-1665

Mailing address

1267 Waterside LN
Venice, FL 34285-6461
Phone (941) 412-1247

Other names 1

  • ART OF HEALING PT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121205000068 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123270782 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

1500 E Venice Ave
Unit 304
Venice, FL 34292
Phone (941) 412-1247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1770836520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 WATERSIDE LN",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856461",
            "telephone_number": "941-412-1247",
            "fax_number": "941-870-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E VENICE AVE UNIT 304",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921665",
            "telephone_number": "941-412-1247",
            "fax_number": "941-870-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRZYSZTOF CIERNIAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "CIERNIAK",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-412-1247",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ART OF HEALING PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.