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

Individual provider Physical Therapist · NPI 1134690522

Mr. Matthew A Kresnicka, DPT is a Physical Therapist in Private Practice in Bloomington, Illinois. Qualified in 2018, 8 years ago. Practices with Koch Family Medicine SC, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
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

1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112
Phone: (309) 663-6461
Fax: (309) 661-8107
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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 070024123 (IL)

Record details

NPI number1134690522
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESDecember 10, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Koch Family Medicine Sc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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