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

Individual provider Physical Therapist · NPI 1114707312

Kyle David Kowalczyk, DPT is a Physical Therapist in Private Practice in Fenton, Michigan. Qualified in 2023, 3 years ago. Practices with Plymouth Physical Therapy Specialists Limited Partnership, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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

400 Rounds Dr
Fenton, MI 48430-1724
Phone: (810) 750-1996
Fax: (810) 750-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 W Main St Ste 120, Northville, MI 48167-1548 — (248) 347-1168

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501302651 (MI)

Record details

NPI number1114707312
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing addressPo Box 412031, Boston, MA 02241-2031

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 Plymouth Physical Therapy Specialists Limited Partnership — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fenton