Brett Stephen Kowalczyk, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

111853 Issued in IA

Practice address

3620 Edgewood Rd SW Ste 300
Cedar Rapids, IA 52404-7205

Phone

(319) 363-2901

Fax

(319) 363-2903

NPI assigned

Feb 7, 2022

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• React Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1306021241
  Medicare reassignment NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1992459242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 RIDGEWAY DR STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412023",
            "telephone_number": "319-665-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 EDGEWOOD RD SW STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047205",
            "telephone_number": "319-363-2901",
            "fax_number": "319-363-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "BRETT",
        "middle_name": "STEPHEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "111853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Roy Kopesky, MD
• Jeffrey V Kopp, D.C.
• Thresa Korczak, M.S. CF-SLP
• Roy A. Kottal, M. D.
• Lillian Kovich, T-LMFT
• Laurence Steven Krain, MD
• Dennis John Kral, D.D.S.
• Paula Kay Kral, D.D.S.
• Erin Jo Kramer
• Leslie Kramer, DO

• Physical Therapist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.