Todd Abramczyk
Individual provider Active NPI Physical Therapist · Saint Charles, MO
NPI 1871808147 · NPPES record last updated Aug 11, 2010
Key facts
- NPI
- 1871808147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2010026608 (MO)
- Practice address
- 1551 Wall St
Saint Charles, MO 63303-3539 - Phone
- (636) 669-2345
- Fax
- (636) 669-2344
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- todd.abramczyk.p2@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2010026608 | MO | Yes |
Addresses
Primary practice location
1551 Wall St
Saint Charles, MO 63303-3539
Mailing address
1116 Prairie PT
O Fallon, MO 63368-7961
NPI Registry JSON
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1871808147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 PRAIRIE PT",
"city": "O FALLON",
"state": "MO",
"postal_code": "633687961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 WALL ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033539",
"telephone_number": "636-669-2345",
"fax_number": "636-669-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMCZYK",
"first_name": "TODD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2010026608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
- Amany Abdallah
- Kristen Abell
- Abide Home Health LLC
- Able Chiropractic Arts, PC
- Above and Beyond ABA Mo LLC
- Adam Morgan Foundation
- Ellen M Adamo
- Daniel Adamovsky
- Lisa Ann Adams
- Nadira Adil
All providers in Saint Charles, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2010. 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.