Jennifer Nicole Szydlowski, PT
Individual provider Active NPI Physical Therapist · Princeton, IL
NPI 1851368096 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1851368096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070011433 (IL)
- Practice address
- 530 Park Ave E
Princeton, IL 61356-3901 - Phone
- (815) 876-4494
- Fax
- (815) 876-2030
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Axes Physical Therapy LLC
Practice addresses (Care Compare)
11330 Olive Blvd
Suite 130
Creve Coeur, MO 63141-7149
Phone (314) 896-2205
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100728000520 | MO | Practitioner - Physical Therapist in Private Practice | 2860525896 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Axes Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700
11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Interoperability endpoints
- jennifer.urnikis.p2@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070011433 | IL | Yes |
Addresses
Primary practice location
530 Park Ave E
Princeton, IL 61356-3901
Mailing address
4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540
Other names
- Ms. Jennifer Nicole Urnikis
Other providers in Princeton, IL
- St. Margaret'S Health - Spring Valley
- Jennifer K Stickel
- Barbara J Swalve Everett
- Ariel E Swanson
- Jonathan T Sydlowski
- Jamie L Taylor
- Ten Broeck Tennessee Physicians Group Inc
- Timothy J Puhr DDS PC
- Jessica Torres
- Allyx Underwood
All providers in Princeton, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.