Matthew Charles Kowantz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012942 Issued in OH

Practice address

7575 5 Mile Rd
Cincinnati, OH 45230-4346

Phone

(513) 233-4360

Fax

(513) 233-4361

NPI assigned

Jul 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopaedic Consultants of Cincinnati, Inc.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1396792529
  NPD (past)
• Propel Physical Therapy PC

  • Physical Therapist
  • Greenvale, NY
  • NPI 1619519972
  NPD (past)

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1205149267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAIN ST APT 301",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015744",
            "telephone_number": "513-289-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304346",
            "telephone_number": "513-233-4360",
            "fax_number": "513-233-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWANTZ",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000679427",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya L Kowalczyk Mullins, M.D.
• Ian Kowalski, M.D.
• Jacqueline Louise Kowalski, ED D
• Jenna Kowalski, RN
• Jessica L Kowalski, D.C.
• Carolyn Ann Kowatsch, PH.D.
• Abdulbaki Kozan, MD
• Stephanie Kozerski
• Tatiana Kozin, MD
• J Alvin Kpaeyeh Jr., MD

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.