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

Sierra Renee Kaczocha

Individual provider Physical Therapist · NPI 1033952197

Sierra Renee Kaczocha is a Physical Therapist in Private Practice in New London, Wisconsin. Qualified in 2024, 2 years ago. Practices with Colorado Athletic Conditioning Clinic Lowry Professional LLC, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Colorado and Wisconsin.

Years since qualifying
2
Licensed in
AZ, CO, WI
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1405 Mill St
New London, WI 54961-2155
Phone: (920) 531-2031
Fax: (920) 531-2056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 E Broadway Rd Ste 101, Tempe, AZ 85282-1535 — (623) 692-8210

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP053720T (WI)
Physical Therapist Taxonomy 225100000X · Licence PTL.0020243 (CO)
Physical Therapist Taxonomy 225100000X · Licence CP050081T (AZ)

Record details

NPI number1033952197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Colorado Athletic Conditioning Clinic Lowry Professional Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New London