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

Nicholas Kaczkowski, PT, DPT, MS

Individual provider Physical Therapist · NPI 1083219596

Nicholas Kaczkowski, PT, DPT, MS is a Physical Therapist in Fox Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

145 Sayton Rd Ste F
Fox Lake, IL 60020-1773
Phone: (847) 629-5536
Fax: (847) 529-5163
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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 070025353 (IL)

Record details

NPI number1083219596
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MS
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

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