Dr. Mark Andrew Jagodzinski
Physical Therapist Hand Physical Therapist - Sports Physical Therapist - Geriatrics and 2 more
12691 W Smokey Dr Ste 128
Surprise
, Arizona 85378-3801
Dr. Mark Andrew Jagodzinski
Physical Therapist Hand Physical Therapist - Sports Physical Therapist - Geriatrics and 2 more
12691 W Smokey Dr Ste 128
Surprise
, Arizona 85378-3801
(623) 234-4173
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
- Hand
- Physical Therapist - Pediatrics
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Mark Andrew Jagodzinski
- 12691 W Smokey Dr Ste 128
- Surprise, AZ
- Zip : 85378-3801
- Fax : (623) 234-4173
- Phone : (623) 234-4171
Second Address
- Dr. Mark Andrew Jagodzinski
- 12691 W Smokey Dr Ste 128
- Surprise, AZ
- Zip : 85378-3801
- Fax : (623) 234-4173
- Phone : (623) 234-4171
Reviews
FAQs
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Is Dr. Mark Andrew Jagodzinski a sole practitioner?
Is Dr. Mark Andrew Jagodzinski accepting new patients?
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Does Dr. Mark Andrew Jagodzinski have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 5576 | AZ |
| N | 2251G0304X | Physical Therapist - Geriatrics | 5576 | AZ |
| N | 2251H1200X | Hand | 5576 | AZ |
| N | 2251P0200X | Physical Therapist - Pediatrics | 5576 | AZ |
| N | 2251S0007X | Physical Therapist - Sports | 5576 | AZ |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 5576 | AZ |
National Provider Identifier
| NPI | 1891732467 |
|---|---|
| Provider Name | Dr. Mark Andrew Jagodzinski |
| First Address | Surprise, AZ 85378-3801 |
| Second Address | Surprise, AZ 85378-3801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 03/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 738792 | (05) | AZ |
| P45535 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.