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MR. CHRISTOPHER MICHAEL KACZMAREK PT, OCS, CSCS
NPI 1568499119
Physical Therapist - Orthopedic in Lexington, KY

Active since June 27, 2006
1207 S BROADWAY, LEXINGTON, KY 40504(859) 258-8519(859) 258-8592 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Apr 3, 2025, Feb 2, 2023 (3 updates tracked since 2023).

About Mr. Christopher Michael Kaczmarek Pt, Ocs, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHRISTOPHER MICHAEL KACZMAREK PT, OCS, CSCS (NPI 1568499119) is an individual orthopedic provider in Lexington, Kentucky, licensed in Kentucky (003847) and active in the NPI registry since June 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568499119
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. CHRISTOPHER MICHAEL KACZMAREKCredential: PT, OCS, CSCS
Location Address1207 S BROADWAYLexington, KY 40504-2701
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Phone(859) 258-8519
Fax(859) 258-8592
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateApril 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1568499119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in KY · 003847
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1207 S BROADWAY, Lexington, KY 40504
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Secondary Practice Locations 2

Location 11650 Bryan Station Rd, Suite 110Lexington, KY 40505-2138 · Phone (859) 293-6133 · Fax (859) 293-6730
Location 2100 N Eagle Creek DrLexington, KY 40509-1805 · Phone (859) 258-5073 · Fax (859) 258-5074

Other Identifiers 1

Medicaid7100383540KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christopher Michael Kaczmarek Pt, Ocs, Cscs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Christopher Kaczmarek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Lexington Clinic, Psc
Same address
Multi-Specialty
1221 S BROADWAY
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 338 clinicians in this Medicare group
NPI 1700803681 (859) 258-6000
Kentucky Orthopedic Rehabilitation LLC
2.3 mi
Physical Therapy
3070 LAKE CREST CIRCLE, SUITE 700
Lexington, KY 40513
  • Reassigned Medicare billing, Kentucky enrollment
  • 70 clinicians in this Medicare group
NPI 1932100971 (859) 296-4080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT DALE OWEN JR. M.D.
Neurological Surgery
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6760
MR. JERRY ROBERTS ABNEY JR. OTR/L, CHT
Occupational Therapist (Hand)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8519
CODY STOVER M.D.
Orthopaedic Surgery
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8575
EMMA ROSE MCKISSACK
Physician Assistant
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6760
KATHLEEN HELEN CAMPBELL PA-C
Physician Assistant
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6101
JUSTIN HENRY CLARK PT, DPT
Physical Therapist
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8519
STEPHEN C. UMANSKY M.D.
Orthopaedic Surgery (Hand Surgery)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-8575
DR. ELLEN J FLINCHUM M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
1207 S BROADWAY
LEXINGTON, KY 40504
Fayette County (859) 258-6101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Kaczmarek's NPI number?

The NPI number for Christopher Kaczmarek is 1568499119. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Christopher Kaczmarek located?

Christopher Kaczmarek practices at 1207 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-8519.

What is Christopher Kaczmarek's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Christopher Kaczmarek enrolled in Medicare?

Yes. Christopher Kaczmarek is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Christopher Kaczmarek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Kaczmarek reassigns Medicare benefits to 2 organizations: New Lexington Clinic, Psc (Lexington, KY) and Kentucky Orthopedic Rehabilitation LLC (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Kaczmarek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christopher Kaczmarek was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.