Kevin Richard Wolak, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39680 Issued in FL

Practice address

300 Avenue of the Champions Ste 100
Palm Beach Gardens, FL 33418-3615

Phone

(561) 223-3872

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saylor Physical Therapy West Palm Beach LLCGroup PAC ID 1658599089, 7 clinicians

Saylor Physical Therapy of Palm Beach Gardens LLCGroup PAC ID 1254585474, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Saylor Physical Therapy of Palm Beach Gardens LLC

  dba Saylor Physical Therapy

  • Health Maintenance Organization
  • West Palm Beach, FL
  • NPI 1649524018

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Saylor Physical Therapy West Palm Beach LLC

  • Health Maintenance Organization
  • West Palm Beach, FL
  • NPI 1598177024
  Medicare reassignment Care Compare group NPD
• Saylor Physical Therapy

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1689257925
  NPD

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1326752635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9083 CAVATINA PL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334725130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVENUE OF THE CHAMPIONS STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183615",
            "telephone_number": "561-223-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLAK",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Wimmer
• Tara Marie Wingard, PA
• Kenneth P Winnard, MD
• Stanley Walter Wisnioski III, D.O.
• Hillary Ellen Wohl, PH.D.
• Rolf Wolfrom, D.D.S
• Michael Richard Wolov, DDS
• Emily Ann Woltering
• Women's Care Florida LLC
• Allison Rose Fulton Wood, OTR

• Physical Therapist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.