Pawel Kaczmarski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01175100 Issued in NJ

Practice address

2716 Orthodox St
Philadelphia, PA 19137-1604

Phone

(215) 743-4435

Fax

(215) 743-8848

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 NJ

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

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Turnersville Internal Medicine and Geriatrics

  • Primary Care Clinic/Center
  • Turnersville, NJ
  • NPI 1689767139
  NPD
• Northeast Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1891978417
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598800088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 COVENTRY WAY",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546824",
            "telephone_number": "856-273-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 ORTHODOX ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371604",
            "telephone_number": "215-743-4435",
            "fax_number": "215-743-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZMARSKI",
        "first_name": "PAWEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01175100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radhika Kachhadiya
• Gail Kachnycz, CRNP
• Kacys Kare LLC
• Joseph M. Kaczmarczyk, D.O.
• Bruce Kaczmarek, MD
• Sagar Kadakia
• Yash Kadakia
• Mathews Tony Kadavanu, MD
• Esin Kadiev, PHARM.D.
• Kadija Home Care LLC

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.