Andrew Edward Kosiba, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214907 Issued in VA

Practice address

1017 S Westyn Loop
Forest, VA 24551-5078

Phone

(631) 495-9968

NPI assigned

Mar 2, 2007

Last updated

Aug 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regal Physical Therapy

  • Physical Therapist
  • South Setauket, NY
  • NPI 1457692220
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1023147535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S WESTYN LOOP",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515078",
            "telephone_number": "631-495-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S WESTYN LOOP",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515078",
            "telephone_number": "631-495-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIBA",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015470",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jourdann Elizabeth Kirk, PA-C
• Mark A Kleiner, MD
• Deborah Lynne Kleinsmith Morris, PSY.D.
• Anita Maria Knight, LPC
• Mahesh Kumar Kodikalla Srinivasulu, P.T.
• Kroger Limited Partnership I (Kroger Pharmacy)
• Kristen Kuk, MD
• Kyle W. Wheeler, DDS, PC
• Lake Audiology Inc (Forest Audiology)
• Alyson Butler Lake, AU-D

• Physical Therapist in Forest, VA
• Providers in Forest, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.