Active NPI
Agnieszka Petynia
- Orthopedic Physical Therapist
- West Hills, CA
National Provider Identifier
1891904736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT20880
- Practice address
- 7230 Medical Center Dr
Suite 501
West Hills, CA 91307-1907 - Phone
- (818) 340-9303
- Fax
- (818) 340-4839
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT20880 | CA | Primary |
Addresses
Primary practice location
7230 Medical Center Dr
Suite 501
West Hills, CA 91307-1907
Mailing address
7230 Medical Center Dr
Suite 501
West Hills, CA 91307-1907
Phone (818) 340-9303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT20880 | Other | CA | PT LICENSE |
Other names 1
- Petynia Czopik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20880 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891904736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 MEDICAL CENTER DR",
"address_2": "SUITE 501",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071907",
"telephone_number": "818-340-9303",
"fax_number": "818-340-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7230 MEDICAL CENTER DR",
"address_2": "SUITE 501",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071907",
"telephone_number": "818-340-9303",
"fax_number": "818-340-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETYNIA",
"first_name": "AGNIESZKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT20880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT20880",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PETYNIA",
"last_name": "CZOPIK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.