MR. JUSTIN MARK KOTLARCZYK (PT) – Physical Therapist, NPI 1649255852
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
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Provider Addresses for MR. JUSTIN MARK KOTLARCZYK (PT)
3rd Avenue West, Bradenton, Manatee County, Florida, 34205, United States
STE 110
BRADENTON, FL 342058641
Phone: (941) 708-9555
Fax: (941) 708-5200
Type: Mailing
2722, Manatee Avenue West, Bradenton, Manatee County, Florida, 34205, United States
SUITE 2
BRADENTON, FL 342054945
Phone: (941) 744-9046
Fax: (941) 744-9046
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041005000859 | I | Physical Therapist In Private Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 2,700 | 250 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 2,515 | 296 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2,172 | 209 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 2,015 | 274 | $0 |
| 97530 | Therapy procedure using functional activities | 1,815 | 298 | $0 |
Insurance plans in this area (ZIP 34205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | FL | 97001 | Physical therapy evaluation | 96 | 94 |
| PHYSICAL THERAPY | FL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 782 | 84 |
| PHYSICAL THERAPY | FL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 477 | 84 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | FL | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Pain Management, Interventional Pain Management, Anesthesiology | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Nurse Practitioner | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physical Medicine And Rehabilitation, Pain Management | FL | |
| Physician Assistant | NJ | |
| Pain Management, Anesthesiology | FL |
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