Individual provider Active NPI

Katarzyna Jolanta Kaczor

  • Physical Therapist
  • North Brunswick, NJ
National Provider Identifier
1225668114
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01911300 Issued in NJ
Practice address
2050 State Route 27 Ste 107-108
North Brunswick, NJ 08902-1380
Phone
(732) 745-2727
Fax
(732) 855-9755
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01911300 NJ Primary

Addresses

Primary practice location

2050 State Route 27 Ste 107-108
North Brunswick, NJ 08902-1380

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206000808 NJ Practitioner - Physical Therapist in Private Practice 8224464482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Brunswick Physical TherapyGroup PAC ID 8729412143, 3 clinicians

Practice addresses (Care Compare)

3 Auer CT
East Brunswick, NJ 08816-5825

3 Auer CT D
East Brunswick, NJ 08816-5825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Brunswick Physical Therapy Physical Therapist CurrentSince Jun 10, 2025 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Oct 25, 2024 Accepting new patients

Locations

3 Auer Ct
Ste D
East Brunswick, NJ 08816
Phone (732) 254-2273

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1225668114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 STATE ROUTE 27 STE 107-108",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021380",
            "telephone_number": "732-745-2727",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "KATARZYNA",
        "middle_name": "JOLANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01911300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.