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Dr. Kenneth Joseph Kaczka , DPT

Physical Therapist โ€ข St Augustine, FL

Active NPI 1922730811 Individual Practitioner Male Practitioner
Practice location in NPPES

105 Murabella Pkwy Ste 6
St Augustine, FL 320924540

Call 9042242666 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

105 Murabella Pkwy Ste 6

St Augustine, FL 320924540

Telephone 9042242666
Fax 9042242667
Organization at the Same NPPES Address or Phone
Jacksonville Orthopaedic Institute Inc Facility NPI 1649826900

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

178 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $55,469 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $41,518 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physical Therapist in St Augustine, FL (2024, 40 clinicians with data). Median for this group: 1,913. Middle half: 843 to 2,614.

Close to the middle for clinicians listed under Physical Therapist in Florida (2024, 2,946 clinicians with data). Median for this group: 2,202. Middle half: 935 to 4,132.

Medicare-allowed amount

Close to the middle for clinicians listed under Physical Therapist in St Augustine, FL (2024, 40 clinicians with data). Median for this group: $49,441. Middle half: $23,815 to $72,604.

Close to the middle for clinicians listed under Physical Therapist in Florida (2024, 2,946 clinicians with data). Median for this group: $56,081. Middle half: $24,935 to $107,013.

Paid by Medicare

Close to the middle for clinicians listed under Physical Therapist in St Augustine, FL (2024, 40 clinicians with data). Median for this group: $38,813. Middle half: $18,037 to $55,497.

Close to the middle for clinicians listed under Physical Therapist in Florida (2024, 2,946 clinicians with data). Median for this group: $42,792. Middle half: $19,103 to $81,835.

147 active clinicians are listed under Physical Therapist with a practice address in St Augustine, FL (14,690 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 147 clinicians have the CMS telehealth indicator.

32.7% of these 147 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
1,652 178 $57.98 $23.85
97140 Therapy procedure using manual technique, each 15 minutes
161 66 $53.52 $19.57
97530 Therapy procedure using functional activities
110 39 $73.00 $33.74
97162 Evaluation for physical therapy, typically 30 minutes
86 86 $198.58 $96.21
97164 Re-evaluation for physical therapy, typically 20 minutes
14 14 $136.07 $66.60

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-26
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES FL PT38655

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jennifer Dieter

Physical Therapist

NPI 1902914674

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Business Mailing Address August 26, 2022

Registered at PO BOX 117345, ATLANTA, GA 303687345 (Tel: 9043463465)

๐Ÿ‘ค
Provider Name / Credentials Updated August 26, 2022

Recorded as KENNETH KACZKA, DPT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2022

Physical Therapist (license number reported to NPPES: FL PT38655)

โœ…
NPI Profile Active June 29, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 29, 2022

Registered at 105 MURABELLA PKWY STE 6, ST AUGUSTINE, FL 320924540 (Tel: 9042242666)

๐Ÿ“
Business Mailing Address (Initial Record) June 29, 2022

Registered at 205 LASA DR APT 301, ST AUGUSTINE, FL 320848754 (Tel: 9082054975)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 29, 2022

Recorded as KENNETH KACZKA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2022

Physical Therapist (license number reported to NPPES: FL 38655)

๐ŸŸข
Initial NPI Registration & Enumeration June 29, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922730811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2022
Last Update: August 26, 2022
Sole Proprietor: Yes

Other Physical Therapists in St Augustine

All Physical Therapists in St Augustine

Mailing Address

Po Box 117345

Atlanta, GA 303687345

Phone: 9043463465

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.