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

Individual provider Physical Therapist · NPI 1932181542

Keith Jason Kmieczak, MSPT is a Physical Therapist in Private Practice in Ephrata, Pennsylvania. Qualified in 1998, 28 years ago. Practices with Drayer Physical Therapy Institute LLC, a 217-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
28
Licensed in
PA
In the registry since
2005
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Practice location Address checks out

136 Lake St Ste E
Ephrata, PA 17522
Phone: (717) 466-5880
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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 PT013342L (PA)

Record details

NPI number1932181542
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Drayer Physical Therapy Institute Llc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ephrata