Active NPI
Jeffrey J. Kozlik, PT, DPT
- Orthopedic Physical Therapist
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT01291
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 66.76
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01291 | RI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates Inc | Current | Accepting new patients | |
| University Orthopedics, Inc. | Current | Accepting new patients | |
| University Orthopedics, Inc. | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1215964465
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
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.