Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jacek Marian Wiczynski, OTR/L

Individual provider Occupational Therapist · NPI 1477729010

Mr. Jacek Marian Wiczynski, OTR/L is an Occupational Therapist in Private Practice in Babylon, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2002, 24 years ago. Practices with Energize Home Physical Therapy PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2008
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

161 Cedar Ln
Babylon, NY 11702-4318
Phone: (631) 650-1849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 012200-1 (NY)

Record details

NPI number1477729010
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMay 4, 2008
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Energize Home Physical Therapy Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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