Individual provider Active NPI

Pawel E Mysliwiec

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1992013718
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5701A General Washington Dr
Alexandria, VA 22312-2408
Phone
(703) 342-2612
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5701A General Washington Dr
Alexandria, VA 22312-2408

Mailing address

5701A General Washington Dr
Alexandria, VA 22312-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203000243 NY Practitioner - Physical Therapist in Private Practice 7315135852 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Aug 1, 2014 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Apr 23, 2019 Accepting new patients
Care Plus Physical Therapy LLC Physical Therapist Past Accepting new patients
Hankook Rehab & Physical Therapy Clinic, Inc. Physical Therapist Past Accepting new patients

Locations

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

4 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-6225

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1992013718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701A GENERAL WASHINGTON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701A GENERAL WASHINGTON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122408",
            "telephone_number": "703-342-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSLIWIEC",
        "first_name": "PAWEL",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.

Verify at the official NPI Registry.