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Active NPI 1114707312 Individual Practitioner Male Practitioner

Dr. Kyle David Kowalczyk , DPT

Physical Therapist • Fenton, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Kowalczyk, DPT is a certified Physical Therapist practicing in Fenton, MI. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Kowalczyk delivers high-quality medical care to the local community at 400 ROUNDS DR.

Dr. Kowalczyk maintains professional affiliations with Ivyrehab Michigan Llc, Plymouth Physical Therapy Specialists Limited Partnership and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Rounds Dr

Fenton, MI 484301724

Telephone 8107501996
Fax 8107506361
Associated Practice Facility / Clinic
🏢 Michael S. O'hara, P.c. Facility NPI 1093881351

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Fenton, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -14.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
40 Specialists

Practicing in Fenton, MI (9693 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kowalczyk (3 Years) 3 Yrs
Fenton Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
1,003 126 $96.00 $25.19
97530 Therapy procedure using functional activities
675 107 $105.00 $30.78
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
508 123 $83.00 $21.09
97140 Therapy procedure using manual technique, each 15 minutes
413 104 $76.00 $19.48
97150 Therapy procedure in a group setting
99 55 $54.00 $12.87
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
55 20 $52.00 $8.13
97535 Training for self-care or home management, each 15 minutes
49 43 $92.00 $24.69
97162 Evaluation for physical therapy, typically 30 minutes
29 28 $314.00 $97.94
97016 Application of blood vessel compression device
28 13 $43.00 $8.90

Medical Specialties & State Licenses

CMS Verified: 2025-06-24
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MI 5501302651

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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

Hospital & Practice Group Affiliations

Plymouth Physical Therapy Specialists Limited Partnership

133 W Main St, Northville, MI 481671548

Phone: 2483471168

Ivyrehab Michigan Llc

400 Rounds Dr, Fenton, MI 484301724

Phone: 8107501996

Secondary Practice Locations

133 W Main St Ste 120

Northville, MI 481671548

Phone: 2483471168

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Michael Treysman

Physical Therapist

NPI 1023591906
Dr. Alycia Schlosser , DPT

Physical Therapist

NPI 1053778886

Doctor of Physical Therapy

Brianna Byrd , OT

Occupational Therapist

NPI 1093323370

Occupational Therapist

Katherine Gallagher

Physical Therapist

NPI 1225468531
Dr. Rebekah Whiting , DPT

Physical Therapist

NPI 1255119756

Doctor of Physical Therapy

Marie Whitt

Physical Therapist

NPI 1295210086

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 24, 2025

Registered at 400 ROUNDS DR, FENTON, MI 484301724 (Tel: 8107501996)

📍
Updated Business Mailing Address June 24, 2025

Registered at PO BOX 412031, BOSTON, MA 022412031 (Tel: 9142944050)

NPI Profile Active October 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2023

Registered at 133 W MAIN ST STE 120, NORTHVILLE, MI 481671548 (Tel: 2483471168)

📍
Updated Business Mailing Address October 04, 2023

Registered at 133 W MAIN ST STE 120, NORTHVILLE, MI 481671548 (Tel: 2483471168)

👤
Provider Name / Credentials Updated October 04, 2023

Recorded as KYLE KOWALCZYK, DPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Physical Therapist (License #5501302651 in MI)

🟢
Initial NPI Registration & Enumeration October 04, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114707312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2023
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

Po Box 412031

Boston, MA 022412031

Phone: 9142944050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.