Dennis Keith Kozak, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT000918E Issued in PA

Practice address

138 Chestnut Valley Drive
Doylestown, PA 18901-2219

Phone

(215) 230-1722

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346462470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CHESTNUT VALLEY DRIVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012219",
            "telephone_number": "215-230-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CHESTNUT VALLEY DRIVE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012219",
            "telephone_number": "215-230-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "DENNIS",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT000918E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID",
            "identifier": "000199993",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10 DIGIT HMO ID",
            "identifier": "0033451000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Koester, LCSW
• Richard A Kondan, DO
• Michele J Kopach, M.D.
• Magdalena Kornacka I, MFT
• Kasey Marie Kotz, M.S.
• Kayla Kozub
• George Anthony Krakowski, M.D.
• Kaitlyn Krejdovski, OTR/L
• Andrew E Krick, MD
• Alicia M Krier

• Orthopedic Physical Therapist in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.