Christopher Krzyzkowski, MSPT – Physical Therapist

Key facts

NPI: 1962556449
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 28296 (CA)
Practice address: 61607 29 Palms Hwy Ste D1
Joshua Tree, CA 92252-2391
Phone: (760) 821-3323
NPI assigned: Jan 22, 2007
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): No

State licenses

License	State	Type	Specialty
28296	CA	MD	Occupational Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	28296	CA	Yes

Addresses

Primary practice location

61607 29 Palms Hwy Ste D1
Joshua Tree, CA 92252-2391

Mailing address

975 Sereno Dr
Kaiser Foundation Rehabilitation Center
Vallejo, CA 94589-2441
Phone (707) 651-4784

Other practice location 1

975 Sereno Dr
Kaiser Foundation Rehabilitation Center
Vallejo, CA 94589-2441
Phone (707) 651-4784

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 3, 2023.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1962556449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "address_2": "KAISER FOUNDATION REHABILITATION CENTER",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-4784",
            "fax_number": "707-651-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61607 29 PALMS HWY STE D1",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922522391",
            "telephone_number": "760-821-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Sereno Dr",
            "address_2": "Kaiser Foundation Rehabilitation Center",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892441",
            "country_code": "US",
            "telephone_number": "707-651-4784",
            "fax_number": "707-651-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRZYZKOWSKI",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joshua Tree, CA

All providers in Joshua Tree, CA · Physical Therapist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2023. 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.

Verify at the official NPI Registry.