Active NPI
Shawn Kovach, PT
- Physical Therapist
- White Plains, NY
National Provider Identifier
1225675119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62017777
- Practice address
- 785 Mamaroneck Ave
White Plains, NY 10605-2523 - Phone
- (914) 597-2122
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62017777 | NY | Primary |
Addresses
Primary practice location
785 Mamaroneck Ave
White Plains, NY 10605-2523
Mailing address
55 Smith Ave
White Plains, NY 10605-2307
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skovach@burke.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62017777 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1225675119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SMITH AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052523",
"telephone_number": "914-597-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACH",
"first_name": "SHAWN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62017777",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skovach@burke.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "785 Mamaroneck Ave",
"city": "White Plains",
"state": "NY",
"country_code": "US",
"postal_code": "106052523",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.