Halina Baczkowski, PTA
Individual provider Active NPI Physical Therapy Assistant · Schererville, IN
NPI 1861657686 · NPPES record last updated Jul 21, 2008
Key facts
- NPI
- 1861657686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06003689A (IN)
- Practice address
- 1245 Poston PL
Schererville, IN 46375-3064 - Phone
- (219) 864-1733
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06003689A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003689A | IN | Yes |
Addresses
Primary practice location
1245 Poston PL
Schererville, IN 46375-3064
Mailing address
1245 Poston PL
Schererville, IN 46375-3064
Phone (219) 864-1733
Other providers in Schererville, IN
- Aze Healthcare LLC
- Michael V. Azodo
- Rex Sabunod Azuelo
- B&B Medical Group, LLC.
- Richard K Bach
- Shirley Marie Baczkowski
- Lillea Balash
- Kennedy Milynn Bandy
- Daniel Richard Barber
- Jayne Barsic
All providers in Schererville, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.