Brynwood Myofascial Therapy
NPI 1134485501ActiveOrganization· Physical Therapist· Rockford, IL
Physical Therapist in Rockford, Illinois, registered in NPPES in April 2012. The authorized official on file is Malgorzata Zasadny, PT, Physical Therapist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134485501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2012 |
| Last updated in NPPES | Apr 24, 2020 |
| Certified by provider | Apr 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Massage Therapist | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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