Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clayton Koniencki, DPT

Individual provider Physical Therapist · NPI 1205677630

Clayton Koniencki, DPT is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Progress Physical Therapy LLC, a 428-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1528 Walnut St Ste 1210
Philadelphia, PA 19102-3609
Phone: (215) 839-0989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence TPT023819 (PA)

Record details

NPI number1205677630
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 31, 2024
Last updated in NPPESMay 31, 2024
Certification dateMay 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Progress Physical Therapy Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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