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

Gary Joseph Kistenfeger, PT

Individual provider Physical Therapist · NPI 1073145561

Gary Joseph Kistenfeger, PT is a Physical Therapist in Peru, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1400 Midtown Rd
Peru, IL 61354-1269
Phone: (815) 223-8600
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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 070.005952 (IL)

Record details

NPI number1073145561
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

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