Active NPI
Marilyn Frances Kovar, PT
- Physical Therapist
- Hammond, LA
National Provider Identifier
1245332162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00137
- Practice address
- 2204 Robin Ave
Hammond, LA 70403-5751 - Phone
- (985) 542-7878
- Fax
- (985) 542-4396
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT00137 | LA | Primary |
Addresses
Primary practice location
2204 Robin Ave
Hammond, LA 70403-5751
Mailing address
PO Box 2965
Hammond, LA 70404-2965
Phone (985) 542-7878
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1677485 | Medicaid | LA | |
| 691869 | Other | LA | AETNA |
| 691869 | Other | LA | UNITED HEALTHCARE |
| 1194646 | Other | LA | CIGNA |
| 721148536KO | Other | LA | HUMANA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137 | LA | MD | Marriage & Family Therapist |
| PT00137 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1245332162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2965",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042965",
"telephone_number": "985-542-7878",
"fax_number": "985-542-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 ROBIN AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035751",
"telephone_number": "985-542-7878",
"fax_number": "985-542-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAR",
"first_name": "MARILYN",
"middle_name": "FRANCES",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "PT00137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1677485",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "691869",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "691869",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1194646",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "721148536KO",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.