MR. CHRISTOPHER MICHAEL KACZMAREK (NPI# 1568499119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568499119 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER MICHAEL KACZMAREK |
Credential | PT, OCS, CSCS |
Practice Address |
1650 Bryan Station Rd Suite 110 Lexington KY 40505-2138 |
Practice Telephone | 8592936133 |
Practice Fax Number | 8592936730 |
Mailing Telephone | 8592936133 |
Mailing Fax Number | 8592936730 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
003847 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1650 BRYAN STATION RD SUITE 110 |
City | LEXINGTON |
State | KY |
Zip Code | 40505-2138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730189762 | Kentucky Orthopedic Rehabilitation LLC | Occupational Therapist | 1650 Bryan Station Rd, Suite 122, Lexington, KY 40505-2138 | 2005-08-01 |
1720688153 | Jill E Hurley | Pharmacist | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2020-10-26 |
1851990808 | Timothy Tatchell | Pharmacist | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2020-10-21 |
1407486137 | Jennifer M Bryant | Pharmacist | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2020-01-22 |
1629608690 | Benjamin Coy | Pharmacist | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2020-01-18 |
1811431950 | Lisa Hill | Nurse Practitioner | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2016-12-08 |
1144693672 | Michael Hopper | Physical Therapist | 1650 Bryan Station Rd, 122, Lexington, KY 40505-2138 | 2015-11-05 |
1558759506 | Jessica Lynn Harper | Nurse Practitioner | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2014-12-29 |
1881000289 | Steven Herrenbruck | Specialist/Technologist | 1650 Bryan Station Rd, Suite 122, Lexington, KY 40505-2138 | 2014-07-07 |
1043633019 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 1650 Bryan Station Rd, Lexington, KY 40505-2138 | 2014-01-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
Find all providers in zip 40505 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421298 | Whitney Jo Ressett | Physical Therapist | 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 | 2020-09-14 |
1962884452 | Jonathan Leigh Breeden | Physical Therapist | 148 Ridge Terrace Ln, Lexington, SC 29073-6878 | 2015-06-22 |
1013515212 | Lexington Health Inc | Physical Therapist | 811 W Main St Ste 205, Lexington, SC 29072-2500 | 2020-10-12 |
1104346519 | Lindsay Sutera | Physical Therapist | 337 W Church St, Lexington, TN 38351-2096 | 2017-06-27 |
1619416559 | Henry Dulin White II | Physical Therapist | 110 Conn Ter, Lexington, KY 40508-3206 | 2017-02-13 |
1982065579 | Jennifer Gwen Evans | Physical Therapist | 1900 Richmond Road, Lexington, KY 40502-1204 | 2016-03-10 |
1699130583 | Shelley W. Ryan | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-12-21 |
1144685033 | Tia Michelle Roush Caldwell | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-12-21 |
1104298082 | Timothy Keith Cupp | Physical Therapist | 1900 Richmond Rd, Lexington, KY 40502-1204 | 2015-10-30 |
1891055059 | Kristofer M Kendrick | Physical Therapist | 4101 Tates Creek Centre Dr Ste 144, Lexington, KY 40517-3068 | 2012-05-22 |
Find all providers in LEXINGTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.