Stanislaw Jan Dabrowski, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5580 Issued in ID

Practice address

524 W 300 N Ste 201
Provo, UT 84601-2669

Phone

(801) 370-9981

NPI assigned

Aug 7, 2018

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine Orthopedic & Sports Physical Therapy LLC

  dba FYZICAL Spine, Orthopedic, Sports Therapy & Balance Center

  • Physical Therapy Clinic/Center
  • Provo, UT
  • NPI 1447275946

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1962981308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W 300 N STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012669",
            "telephone_number": "801-370-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W 300 N STE 201",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012669",
            "telephone_number": "801-370-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 N State St",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840574746",
            "country_code": "US",
            "telephone_number": "801-226-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DABROWSKI",
        "first_name": "STANISLAW",
        "middle_name": "JAN",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "5580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cutting Edge Medicine LLC (The Neuropathy Clinic)
• David Micheal Czerepinski
• Jeffrey Ervin Dabbs
• Kiana Dabier
• Heather A Dabling, M.D.
• Anna Dailey
• Lena Marie Rasmussen Daily, LCSW
• Natalie Nicole Daines
• Dan J Daley, PHD
• Bryan J Dalley, M.ED., ACMHC

• Physical Therapist in Provo, UT
• Providers in Provo, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.