Nicholas Kaczkowski, PT, DPT, MS
NPI 1083219596 · Physical Therapist · Fox Lake, IL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Kaczkowski, PT, DPT, MS is a Physical Therapist provider in Fox Lake, IL (NPI 1083219596).
Provider details
- NPI number
- 1083219596
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 070025353 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Frequently asked questions
- What is Nicholas Kaczkowski's NPI number?
- Nicholas Kaczkowski's National Provider Identifier (NPI) is 1083219596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Kaczkowski's specialty?
- Nicholas Kaczkowski is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicholas Kaczkowski located?
- Nicholas Kaczkowski's practice location on file with NPPES is 145 Sayton Rd Ste F, Fox Lake, IL 60020-1773.
- What is Nicholas Kaczkowski's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Kaczkowski is (847) 629-5536.
- Does Nicholas Kaczkowski accept Medicare?
- Nicholas Kaczkowski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Kaczkowski's NPI active?
- Yes — Nicholas Kaczkowski's NPI (1083219596) is active in the NPPES registry as of the last update on 2020-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.