Provider Demographics
NPI:1952911620
Name:FILIPCZUK, PATRYCK (DPT)
Entity type:Individual
Prefix:
First Name:PATRYCK
Middle Name:
Last Name:FILIPCZUK
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 RICE ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5216
Mailing Address - Country:US
Mailing Address - Phone:305-792-8393
Mailing Address - Fax:305-444-1523
Practice Address - Street 1:2484 AVONDALE HASLET RD STE 800
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-6251
Practice Address - Country:US
Practice Address - Phone:682-289-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2000X
TX1394354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist