Inde Physical Therapy, PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

014151 Issued in NY

Legal business name

INDE PHYSICAL THERAPY, PLLC

Doing business as

Independence Physical Therapy

Practice address

733 Glenmary Dr
Owego, NY 13827-2644

Phone

(607) 727-4895

NPI assigned

Oct 24, 2011

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott J Kobziewicz, MSPT

Title

Owner

Phone

(607) 727-4895

Specialties & licenses 3

Addresses

Other names 1

• Independence Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1962788844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 GLENMARY DR",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138272644",
            "telephone_number": "607-727-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 GLENMARY DR",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138272644",
            "telephone_number": "607-727-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "KOBZIEWICZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-727-4895",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "014151",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "014151",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT007930L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven William Hill, PT
• Allison M Hilliker, M.S. CCC-SLP
• Mackenzie Hintze
• Leah Humphries, DC
• Jennifer Iglthaler
• Michelle Jenkins-Perestam, RN
• Anna Jordan, OTR/L
• Amy Melissa Joyce
• Kathryn Alexandra Motsko Kaczor, OTR/L
• Keith a Nichols MD, PLLC

• Orthopedic Physical Therapist in Owego, NY
• Providers in Owego, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.