Active NPI
William Alexander Hvizdzak, PT, DPT
- Physical Therapist
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015578
- Practice address
- 3051 Watson Blvd Ste 525
Warner Robins, GA 31093-8556 - Phone
- (478) 953-4563
- NPI assigned
- Sep 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015578 | GA | Primary |
Addresses
Primary practice location
3051 Watson Blvd Ste 525
Warner Robins, GA 31093-8556
Mailing address
145 Woodard Rd
Kathleen, GA 31047-2601
Phone (478) 542-4825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 E Spruce St
Suite a
Missoula, MT 59802-4504
Phone (406) 549-0064
3051 Watson Blvd
Suite 525
Warner Robins, GA 31093-8556
Phone (478) 953-4563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015578 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current | Accepting new patients | |
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current | Accepting new patients |
Locations
1013 Main St
Perry, GA 31069
Phone (478) 953-4563
3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563
3051 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-4563
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Warner Robins, GA
- NPI 1205866605
-
- Physical Therapist
- Missoula, MT
- NPI 1306858642
-
- Durable Medical Equipment & Medical Supplies
- Perry, GA
- NPI 1134563042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1912675950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 WOODARD RD",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472601",
"telephone_number": "478-542-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 WATSON BLVD STE 525",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310938556",
"telephone_number": "478-953-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HVIZDZAK",
"first_name": "WILLIAM",
"middle_name": "ALEXANDER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.