Sierra Renee Kaczocha
Individual provider Active NPI Physical Therapist · New London, WI
NPI 1033952197 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1033952197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CP053720T (WI)
- Practice address
- 1405 Mill St
New London, WI 54961-2155 - Phone
- (920) 531-2031
- Fax
- (920) 531-2056
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Athletic Conditioning Clinic Lowry Professional LLC
Practice addresses (Care Compare)
200 Quebec St
Suite 215
Denver, CO 80230-7144
Phone (303) 341-0369
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203000829 | CO | Practitioner - Physical Therapist in Private Practice | 0345775177 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP050081T | AZ | MD | Physical Therapist |
| PTL.0020243 | CO | MD | Physical Therapist |
| CP053720T | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Athletic Conditioning Clinic Lowry Professional LLC | Physical Therapist | Current |
Accepting new patients |
| Colorado Athletic Conditioning Clinic Lowry Professional LLC | Current | Accepting new patients | |
| Colorado Athletic Conditioning Clinic Lowry Professional LLC | Physical Therapist | Current |
Accepting new patients |
Locations
8025 Sheridan Blvd
Unit G
Arvada, CO 80003
Phone (720) 372-4973
5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022
10439 Chambers Rd
Commerce City, CO 80022
Phone (720) 625-8198
200 Quebec St
Bldg 600
Denver, CO 80230
Phone (303) 341-0369
200 Quebec St
Ste 215
Denver, CO 80230
Phone (303) 341-0369
3451 S Chambers Rd
Denver, CO 80014
Phone (303) 680-6121
5184 S Broadway
Englewood, CO 80113
Phone (720) 327-0865
10450 Park Meadows Dr
Ste 103
Lone Tree, CO 80124
Phone (303) 754-5222
10345 Parkglenn Way
Ste 220
Parker, CO 80138
Phone (303) 840-9202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0020243 | CO | |
| Physical Therapist | 225100000X | CP050081T | AZ | |
| Physical Therapist | 225100000X | CP053720T | WI | Yes |
Addresses
Primary practice location
1405 Mill St
New London, WI 54961-2155
Mailing address
1025 E Broadway Rd Ste 101
Tempe, AZ 85282-1535
Other practice location 1
1025 E Broadway Rd Ste 101
Tempe, AZ 85282-1535
Phone (623) 692-8210
Other providers in New London, WI
- James Lee Jernegan
- Karly Lynn Johannsen
- Todd Robert Johnson
- Amy Jordan
- Julie Feider, Mse, LPC
- Ross Hayland Kading
- Teasha L Kaepernick
- Margit Kindel
- Nathan King
- Rebecca Kathryn Kisley
All providers in New London, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.