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

Ksenia Mack, PT, DPT

Individual provider Physical Therapist · NPI 1033817747

Ksenia Mack, PT, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices with Lsf PT LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
3
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.

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Practice location Address checks out

4657 N Lincoln Ave
Chicago, IL 60625-2024
Phone: (773) 989-6472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1320 W Fullerton Ave, Chicago, IL 60614-2129 — (773) 770-2419

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.027296 (IL)
Physical Therapist Taxonomy 225100000X (IL)
Orthopedic Physical Therapist Taxonomy 2251X0800X (IL)

Record details

NPI number1033817747
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lsf Pt Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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