MEDICARE: PATRYCK FILIPCZUK DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center
2	225100000X	Physical Therapist	1394354	TX

General Provider Information

NPI Number	:	1952911620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRYCK FILIPCZUK DPT

Provider Business Mailing Address
First Line	:	3305 RICE ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-5216
Country	:	US
Telephone Number	:	305-792-8393
Fax Number	:	305-444-1523

Provider Business Practice Location Address
First Line	:	2484 AVONDALE HASLET RD STE 800
Second Line	:
City	:	HASLET
State	:	TX
Zip	:	76052-6251
Country	:	US
Telephone Number	:	682-289-9760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	09/13/2024

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