Individual provider Active NPI

William A Kosik, P.T.

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1083662456
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24845 Issued in CA
Practice address
4150 Regents Park Row
#365
La Jolla, CA 92037-9124
Phone
(858) 657-8199
Fax
(858) 657-8170
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 24845 CA Primary

Addresses

Primary practice location

4150 Regents Park Row
#365
La Jolla, CA 92037-9124

Mailing address

5962 La Place CT
Carlsbad, CA 92008-8807
Phone (800) 929-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000546 CA Practitioner - Physical Therapist in Private Practice 9931295870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

6070 Avenida Encinas
Suite 100
Carlsbad, CA 92011-1001
Phone (760) 444-0102

Merit-based Incentive Payment System (MIPS)

Final score
54.31 of 100Reported as individual
Quality
28.33
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 24845CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Mesa Physical Therapy Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083662456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 LA PLACE CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088807",
            "telephone_number": "800-929-4776",
            "fax_number": "760-931-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "#365",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379124",
            "telephone_number": "858-657-8199",
            "fax_number": "858-657-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSIK",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 24845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.