Individual provider Active NPI

Jeffrey J. Kozlik, PT, DPT

  • Orthopedic Physical Therapist
  • Warwick, RI
National Provider Identifier
1225313158
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT01291 Issued in RI
Practice address
120 Centerville Rd
Physical Therapy Department
Warwick, RI 02886-4336
Phone
(401) 738-7347
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT01291 RI Primary

Addresses

Primary practice location

120 Centerville Rd
Physical Therapy Department
Warwick, RI 02886-4336

Mailing address

120 Centerville Rd
Physical Therapy Department
Warwick, RI 02886-4336
Phone (401) 738-7347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000549 RI Practitioner - Physical Therapist in Private Practice 1557386166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Practice addresses (Care Compare)

2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01291RIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates Inc CurrentSince Mar 29, 2021 Accepting new patients
University Orthopedics, Inc. CurrentSince May 23, 2023 Accepting new patients
University Orthopedics, Inc. CurrentSince May 23, 2023 Accepting new patients
Orthopedics Rhode Island, Inc Orthopedic Current Accepting new patients

Locations

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

725 Reservoir Ave
Ste 101
Providence, RI 02910
Phone (401) 944-0228

41 Sanderson Rd
Ste 105
Smithfield, RI 02917
Phone (401) 349-3990

120 Centerville Rd
Warwick, RI 02886
Phone (401) 562-1017

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

Interoperability endpoints

  • Direct secure messaging: jeffrey.kozlik.1@13709.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1225313158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTERVILLE RD",
            "address_2": "PHYSICAL THERAPY DEPARTMENT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864336",
            "telephone_number": "401-738-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTERVILLE RD",
            "address_2": "PHYSICAL THERAPY DEPARTMENT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864336",
            "telephone_number": "401-738-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLIK",
        "first_name": "JEFFREY",
        "middle_name": "J.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "RI",
            "license": "PT01291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.