KEITH KMIECZAK MSPT
NPI 1932181542
Physical Therapist in Ephrata, PA

Active since November 18, 2005Accepts Medicare Assignment
136 LAKE ST, SUITE E, EPHRATA, PA 17522(717) 466-5880 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Kmieczak Mspt NPPES

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

KEITH 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

NPI1932181542
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEITH KMIECZAKCredential: MSPT
Location Address136 LAKE ST, SUITE EEphrata, PA 17522
Mailing Address297 Orchard View DrLeola, PA 17540-1632 · (717) 283-6797
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 18, 2005
Last NPPES UpdateAugust 18, 2022
NPPES CertifiedAugust 13, 2022
NPI 1932181542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in PA · PT013342L
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
136 LAKE ST, Ephrata, PA 17522

Other Identifiers 5

Other2053032000PA · Independence Blue Shield
Other50017328PA · Capital Blue Cross
Other2719587PA · Aetna
Other814494PA · First Priority
Other1360739PA · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith 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.

PECOS PAC ID4284082678
PECOS Enrollment IDI20231123000072

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.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
494 services38 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
241 services33 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
126 services31 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
114 services24 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
72 services21 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
22 services20 patients

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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Physical Therapist
136 LAKE ST
EPHRATA, PA 17522
Physician Assistant
136 LAKE ST
EPHRATA, PA 17522
Clinic/Center (Rehabilitation)
136 LAKE ST
EPHRATA, PA 17522
Nurse Practitioner (Family)
136 LAKE ST
EPHRATA, PA 17522
Family Medicine
136 LAKE ST
EPHRATA, PA 17522
Family Medicine
136 LAKE ST
EPHRATA, PA 17522
Physical Therapist
136 LAKE ST
EPHRATA, PA 17522
Physical Therapist
136 LAKE ST
EPHRATA, PA 17522

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.

When was this NPI record last updated?

The NPPES record for Keith Kmieczak was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.