JACOB POTRZEBA DPT
NPI 1033792080
Physical Therapist - Human Factors in Hillsdale, NY
Active since April 28, 2021
About Jacob Potrzeba Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB POTRZEBA DPT (NPI 1033792080) is an individual human factors provider in Hillsdale, New York, licensed in Massachusetts (22235) and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1033792080
Entity TypeIndividualMale
Primary Taxonomy2251H1300X
Provider Legal NameJACOB POTRZEBACredential: DPT
Location Address6 PHEASANT LNHillsdale, NY 12529-5410
Mailing Address6 Pheasant LnHillsdale, NY 12529-5410
Phone(518) 672-7312
Sole ProprietorYes
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1033792080 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyPhysical Therapist · Human FactorsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251H1300X
License✔ Licensed in MA · 22235
Also ListedPhysical TherapistTaxonomy 225100000X · License 037873-01 (NY)
6 PHEASANT LN, Hillsdale, NY 12529
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033792080, enumerated as an "individual" on April 28, 2021.
The provider is located at 6 PHEASANT LN HILLSDALE, NY 12529 and the phone number is (518) 672-7312.
Physical Therapist with taxonomy code 2251H1300X and a focus in Human Factors.
