Kathleen Johnson Wesolowski, P.T.
NPI 1457365538ActiveIndividual· Physical Therapist· Eagle, ID
Physical Therapist (P.T.) with Mrc LLC, practicing in Eagle, Idaho. Medicare paid $5,256 for services to 25 patients in 2024.
Overview
| NPI | 1457365538 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT15209 | CA |
| Physical Therapist, Orthopedic | 2251X0800X | PT-9207 | ID |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 283 across 8 procedure codes |
| Paid by Medicare | $5,256 |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mrc LLCEagle, ID · 3 clinicians
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