Renee Kawecki, PT, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

305 Bradley Cir
Saint Charles, IL 60174-5526

Phone

(630) 338-2882

NPI assigned

Jul 3, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1053044552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BRADLEY CIR",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601745526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BRADLEY CIR",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601745526",
            "telephone_number": "630-338-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWECKI",
        "first_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Kasper, LCSW
• Kate S Evans, PC
• Katherine Douglas PLLC
• Katherine Schaefer Berg, PH.D., P.C.
• Kristen Wuich Kauke, LCSW
• Amber L Kay
• Kayla Epperson LLC
• Naheed Fatima Kazmi, PHARM, D.
• Melanie S Keane, SPT
• Edmund M Kearney, PH.D.

• Physical Therapy Clinic/Center in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.