Jacquelyn Catahay Ksiazkiewicz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017870 Issued in IL

Practice address

684 Greenbrier LN
Crystal Lake, IL 60014-7011

Phone

(312) 508-8820

NPI assigned

Oct 23, 2013

Last updated

Jan 20, 2024By the provider in NPPES

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Therapy and Wellness LLCGroup PAC ID 6002351202, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Center for Therapy and Wellness LLC

  • Physical Therapist
  • Island Lake, IL
  • NPI 1114785649
  Medicare reassignment Care Compare group NPD
• Jkcatahay LLC

  • Physical Medicine & Rehabilitation Physician
  • Crystal Lake, IL
  • NPI 1861253635

  Physical Therapist

  NPD Authorized official
• Jkcatahay LLC

  • Home Health Agency
  • Crystal Lake, IL
  • NPI 1154027977

  Physical Therapist

  NPD
• Anthony J Martino SC

  dba NorthPark Medical Group

  • Internal Medicine Physician
  • Melrose Park, IL
  • NPI 1770617862
  NPD (past)
• Three Point Healthcare LLC

  • Physical Therapist
  • Mokena, IL
  • NPI 1124535240
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1528496833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 GREENBRIER LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147011",
            "telephone_number": "312-508-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 GREENBRIER LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147011",
            "telephone_number": "312-508-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSIAZKIEWICZ",
        "first_name": "JACQUELYN",
        "middle_name": "CATAHAY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Krotser, LCSW
• Marko F Krpan, DO
• Laura Kruppe
• Samuel Nathan Krus, BCBA
• Ashley N Krynski, DNP, CRNA
• KT Therapy, PLLC
• Gregory Frank Kubik, D.D.S.
• Robyn Kubik, LPC
• Gregory T Kuhlman, DC
• Agnieszka B Kumar, DDS

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; 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.