KEITH JASON KMIECZAK MSPT
NPI 1932181542
Physical Therapist in Ephrata, PA
About Keith Jason Kmieczak Mspt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH JASON KMIECZAK MSPT (NPI 1932181542) is an individual physical therapist in Ephrata, Pennsylvania, licensed in Pennsylvania (PT013342L) and active in the NPI registry since November 2005. He is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keith Jason Kmieczak Mspt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Keith Kmieczak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lititz, PA 17543
- Reassigned Medicare billing, Pennsylvania enrollment
- 411 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Keith Kmieczak's NPI number?
The NPI number for Keith Kmieczak is 1932181542. It was assigned to this individual provider in the NPPES registry on November 18, 2005.
Where is Keith Kmieczak located?
Keith Kmieczak practices at 136 Lake St Suite E, Ephrata, PA 17522. The listed phone number is (717) 466-5880.
What is Keith Kmieczak's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Keith Kmieczak enrolled in Medicare?
Yes. Keith Kmieczak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Keith Kmieczak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Kmieczak reassigns Medicare benefits to Drayer Physical Therapy Institute LLC (Lititz, PA). The 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 Keith Kmieczak'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 Keith Kmieczak was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.