KM Physical Therapy PC
Organization Active NPI Physical Therapy Clinic/Center · Summit, IL
NPI 1093072373 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1093072373
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 070.014455 (IL)
- Legal business name
- KM PHYSICAL THERAPY PC
- Practice address
- 5838 S Harlem Ave
Summit, IL 60501-1407 - Phone
- (773) 645-8039
- Fax
- (773) 657-5377
- NPI assigned
- Apr 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Marcin Cwikla
- Title
- President
- Phone
- (773) 645-8039
Practitioners 1
-
Marcin P Cwikla, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210908002931 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5092111567 |
Receives reassigned benefits from 1 practitioner Practice locations: Summit, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070.014455 | IL | Yes |
Addresses
Primary practice location
5838 S Harlem Ave
Summit, IL 60501-1407
Mailing address
2703 N Drake Ave
Chicago, IL 60647-1234
Phone (224) 203-0001
Other providers in Summit, IL
- Nicole Isroff
- Rafia Nawab Jabeen
- Lynette Jones
- Derya Keskin
- Eunice Kim
- John F. Kozal
- Tina Marie Lakatos
- Carmen Luckett
- Annemarie Luperini
- Mark Anthony Maciuszek
All providers in Summit, IL · Physical Therapy Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.