Individual provider Active NPI

Olivia Jendrzejewski, DPT

  • Physical Therapist
  • Hazle Township, PA
National Provider Identifier
1831746312
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1201B N Church St Ste 308
Hazle Township, PA 18202-1454
Phone
(570) 455-7108
NPI assigned
Aug 20, 2019
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 PA Primary

Addresses

Primary practice location

1201B N Church St Ste 308
Hazle Township, PA 18202-1454

Mailing address

2000 Westinghouse Dr Ste 200
Cranberry TWP, PA 16066-5238
Phone (724) 343-4060

Other practice location 1

1070 Dairy Ln
Elizabethtown, PA 17022-9547
Phone (717) 361-7489

Other identifiers 2

IdentifierTypeStateIssuer
1036791350001MedicaidPA
854615OtherPAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002357 PA Practitioner - Physical Therapist in Private Practice 9234469917 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cloudline Physical Therapy LLCGroup PAC ID 6305266222, 28 clinicians
Elite Spine and Sports Physical Therapy LPGroup PAC ID 0840664918, 12 clinicians

Practice addresses (Care Compare)

138 S 34TH St
Philadelphia, PA 19104-3401
Phone (267) 639-3215

1501 Walnut St
Suite 400
Philadelphia, PA 19102-3001
Phone (267) 639-3215

182 Butler St
Wilkes Barre, PA 18702-4465
Phone (570) 970-0402

239 S 10TH St
Philadelphia, PA 19107-5751
Phone (484) 393-5047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mishock Physical Therapy LP Physical Therapist CurrentSince Dec 17, 2022 Accepting new patients
Family Practice Center, PC CurrentSince Aug 27, 2019 Accepting new patients
Madden and Gilbert Physical Therapy LP Multi-Specialty CurrentSince Sep 30, 2022 Accepting new patients
Penn Therapy Associates, Inc. Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Aug 27, 2019 Accepting new patients
Adams County Physical Therapy Limited Partnership Multi-Specialty CurrentSince Nov 11, 2024 Accepting new patients
Cloudline Physical Therapy LLC Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Mishock Physical Therapy LP Multi-Specialty Current Accepting new patients
US PT Alliance Rehabilitation Services Inc Multi-Specialty CurrentSince Nov 11, 2024 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC Multi-Specialty CurrentSince Jun 1, 2026 Accepting new patients
Elite Spine and Sports Physical Therapy LP Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist Past Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

560 N Route 100
Bechtelsville, PA 19505
Phone (610) 845-5000

1070 Dairy Ln
Elizabethtown, PA 17022
Phone (717) 361-7489

1806 Swamp Pike
#100
Gilbertsville, PA 19525
Phone (610) 327-2600

100 W Eisenhower Dr
Ste E
Hanover, PA 17331
Phone (717) 646-8104

110 W Eisenhower Dr
Ste E
Hanover, PA 17331
Phone (717) 646-8104

5425 Jonestown Rd
Ste 100
Harrisburg, PA 17112
Phone (717) 901-6487

2010 W Chester Pike
Ste 450
Havertown, PA 19083
Phone (610) 853-0508

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

239 S 10th St
Philadelphia, PA 19107
Phone (445) 223-2653

182 Butler St
Wilkes Barre, PA 18702
Phone (570) 970-0402

40 W 11th Ave
Ste A
York, PA 17404
Phone (717) 852-7733

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1831746312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201B N CHURCH ST STE 308",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182021454",
            "telephone_number": "570-455-7108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1070 Dairy Ln",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "PA",
            "postal_code": "170229547",
            "country_code": "US",
            "telephone_number": "717-361-7489",
            "fax_number": "717-361-7528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENDRZEJEWSKI",
        "first_name": "OLIVIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036791350001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "854615",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.