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

Kelly Jean Wieczerzak, PT, DPT

Individual provider Physical Therapist · NPI 1982367819

Kelly Jean Wieczerzak, PT, DPT is a Physical Therapist in Private Practice in Rutherford, New Jersey. Graduated from Rutgers New Jersey Medical School in 2021, 5 years ago. Practices with Scerbo Physical Therapy and Sports Medicine Institute, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

301 Route 17 Ste 105
Rutherford, NJ 07070-2585
Phone: (201) 460-0032
Fax: (201) 460-0092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02023500 (NJ)

Record details

NPI number1982367819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Scerbo Physical Therapy And Sports Medicine Institute, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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