Kevin Kostka, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6817 Issued in TN

Practice address

1790 Hamill Rd
Hixson, TN 37343-4905

Phone

(423) 842-9322

Fax

(866) 591-0619

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Tennessee, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Summit Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1376796342
  Medicare reassignment Care Compare group
• Summit Physical Therapy

  • Physical Therapist
  • Hixson, TN
  • NPI 1225514110
  NPD Authorized official
• Hovis Orthopaedic Clinic PC

  • Orthopaedic Surgery Physician
  • Knoxville, TN
  • NPI 1053392043
  NPD (past)
• Orthotennessee

  dba KOC Therapy-UT Athletics

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1841508751

  Physical Therapist

  NPD (past)
• Orthotennessee, PC

  dba KOC Therapy-Powell

  • Multi-Specialty Clinic/Center
  • Powell, TN
  • NPI 1518043751
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1265494876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-842-9322",
            "fax_number": "186-659-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 HAMILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434905",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTKA",
        "first_name": "KEVIN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TENN",
            "identifier": "4227742",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3645730",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11822955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Nicole Kimble, NP
• Andrea Kirkman
• Tyler Kitchens, PHARM. D., R.P.H.
• Kiva Crutcher
• Ashley Kline
• Martin Thomas Krecker, M.D.
• Prabha A Kunda, M.D.
• Nicole A Lacey
• Jennifer Lake, LMT
• Kimberly Michelle Lancaster, ATC

• Physical Therapist in Hixson, TN
• Providers in Hixson, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.