Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wojciech Telacki, MSPT

Individual provider Physical Therapist · NPI 1710909668

Wojciech Telacki, MSPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

1010 Northern Blvd Ste 406
Great Neck, NY 11021-5330
Phone: (516) 365-8215
Fax: (516) 365-8296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 022886 (NY)

Record details

NPI number1710909668
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedJuly 23, 2006
Last updated in NPPESJanuary 6, 2024
Certification dateOctober 18, 2023
Mailing address1010 Northern Blvd Ste 311, Great Neck, NY 11021-5329

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck