Jacey J. Mroczenski, DPT
NPI 1073005153ActiveIndividual· Physical Therapist· Mukwonago, WI
Physical Therapist (DPT) in Mukwonago, Wisconsin, licensed in WI, with an NPI issued in June 2018. Medicare paid $13,079 for services to 21 patients in 2024.
Overview
| NPI | 1073005153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 4, 2018 |
| Last updated in NPPES | Jun 10, 2024 |
| Certified by provider | Jun 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 14215-24 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 620 across 7 procedure codes |
| Paid by Medicare | $13,079 |
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All 22 physical therapists in Mukwonago · All physical therapists in Wisconsin