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

  • Direct secure messaging: todd.abramczyk.p2@direct.athleticoltd.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2010.

{
    "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

All providers in Saint Charles, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.