Active NPI
Daniele Nicole Mrozek, PT, DPT
- Physical Therapist
- Sandpoint, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1218 N Division Ave Ste 102
Sandpoint, ID 83864-5054 - Phone
- (208) 255-6693
- NPI assigned
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1218 N Division Ave Ste 102
Sandpoint, ID 83864-5054
Mailing address
15429 216TH Ave NE
Woodinville, WA 98077-7781
Phone (425) 681-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Sherwood Community Services | Physical Therapist | Past | Accepting new patients |
Locations
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
16030 Bothell Hwy
Ste 140
Mill Creek, WA 98012
Phone (425) 338-9005
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Early Intervention Provider Agency
- Lake Stevens, WA
- NPI 1134114283
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1922587914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15429 216TH AVE NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980777781",
"telephone_number": "425-681-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 N DIVISION AVE STE 102",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645054",
"telephone_number": "208-255-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MROZEK",
"first_name": "DANIELE",
"middle_name": "NICOLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.