KIM A BACZYNSKI (COTA) – Occupational Therapist, NPI 1295719995

KIM A BACZYNSKI (COTA) is a healthcare provider. based in Rochester, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials COTA. They hold a License No. 971 (WI). The NPI Number for KIM A BACZYNSKI (COTA) is 1295719995

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KIM A BACZYNSKI (COTA)
NPI
1295719995
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
6 December 2005
Last Update Date
10 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2008 (18 years ago)
PAC ID
9739245119
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20090310000426
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
kbaczynski131064@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

603 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for KIM A BACZYNSKI (COTA)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090310000426IOccupational Therapist In Private PracticeMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507778255View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KIM A BACZYNSKI (COTA) in the U.S.?
In the U.S., KIM A BACZYNSKI (COTA) is identified by NPI 1295719995.
Is KIM A BACZYNSKI (COTA)'s NPI status active today?
Active status means KIM A BACZYNSKI (COTA)'s NPI record is not deactivated in the public file.
What services align with KIM A BACZYNSKI (COTA)'s listing?
KIM A BACZYNSKI (COTA)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to KIM A BACZYNSKI (COTA)?
KIM A BACZYNSKI (COTA) shows a connection to Rochester, Minnesota in registry-derived data.
Who maintains KIM A BACZYNSKI (COTA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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