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

Individual provider Physical Therapist · NPI 1144730169

Nathan Ryan Koslakiewicz, PT, DPT is a Physical Therapist in Private Practice in Nicholasville, Kentucky. Qualified in 2017, 9 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
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

602 Keene Centre Dr
Nicholasville, KY 40356-1495
Phone: (859) 544-1762
Fax: (859) 787-0287
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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 007214 (KY)

Record details

NPI number1144730169
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing addressPo Box 306393, Nashville, TN 37230-6393

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Nicholasville