STEPHANIE KOSIDOWSKI (PT) – Physical Therapist, NPI 1225295017

STEPHANIE KOSIDOWSKI (PT) is a healthcare provider. based in Sussex, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6265-024 (WI). The NPI Number for STEPHANIE KOSIDOWSKI (PT) is 1225295017

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE KOSIDOWSKI (PT)
NPI
1225295017
Phone
(262) 352-3395
Address
N55W27853 HANOVER HILL RD
Enumeration Date
20 May 2008
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516316570
Graduation Year
1998 (28 years ago)
PAC ID
1355671082
Group Practice PAC ID
7618341439
Professional Enrollment ID
I20190924000959
Address ID
WI531864858WA222XXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for STEPHANIE KOSIDOWSKI (PT)

  • N55W27853 HANOVER HILL RD

    SUSSEX, WI 530894528

    Phone: (262) 352-3395

    Type: Mailing

  • 700 QUINLAN DR

    PEWAUKEE, WI 530721823

    Phone: (262) 695-5925

    Type: Location

  • 4301, West Brown Deer Road, Brown Deer, Milwaukee County, Wisconsin, 53223, United States

    SUITE 101

    BROWN DEER, WI 532232400

    Phone: (414) 357-7072

    Fax: (414) 355-2767

    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.

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: 2019-09-24

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
I20190924000959IPhysical Therapist In Private PracticeWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14624$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12718$0
97116Therapy procedure for walking training, each 15 minutes7819$0
97530Therapy procedure using functional activities7516$0
View full utilization report →

Insurance plans in this area (ZIP 53089)

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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: 7618341439View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Internal MedicineWI
Physical Therapist In Private PracticeWI
Family PracticeWI
Family PracticeWI
Physical Therapist In Private PracticeWI
Family PracticeWI
Family PracticeWI
Physical Therapist In Private PracticeWI
Occupational Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Is there an official ID for STEPHANIE KOSIDOWSKI (PT) in U.S. healthcare records?
The official identifier for STEPHANIE KOSIDOWSKI (PT) is NPI 1225295017.
Is STEPHANIE KOSIDOWSKI (PT) shown as active in public data?
Registry records indicate STEPHANIE KOSIDOWSKI (PT) maintains an active NPI.
What expertise is attributed to STEPHANIE KOSIDOWSKI (PT)?
STEPHANIE KOSIDOWSKI (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is STEPHANIE KOSIDOWSKI (PT) located near Sussex?
STEPHANIE KOSIDOWSKI (PT) currently maps to Sussex, Wisconsin in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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