Jacqueline Kozak

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

455 State Highway 195
Georgetown, TX 78633-4670

Phone

(512) 256-7627

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Care Therapies of Georgetown, PLLC

  • Occupational Therapist
  • Georgetown, TX
  • NPI 1033538921
  Medicare reassignment
• Allied Therapies of Texas, PLLC

  • Multi-Specialty Clinic/Center
  • Copperas Cove, TX
  • NPI 1164009254
  NPD (past)

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1356056170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 STATE HIGHWAY 195",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334670",
            "telephone_number": "512-256-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786282420",
            "country_code": "US",
            "telephone_number": "512-256-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackiek@allcaretherapygt.com",
            "affiliation": "N",
            "address_1": "455 State Highway 195",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786334670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darren Konesheck, D.C.
• Hillary Kathlana Konitsch, OTR/L
• Margarita Alana Kopp, LSSP, NCSP
• Michael Kortschak, RD, LD
• Arpy Jitendra Kothari, PA
• Shawn Marie Kraus
• Nancy Krenek, PT, DPT, HPCS
• Maya Krishnan
• Kristy D. Heatly, D.O., P.a.
• Melanie L. Krog, DOCTORATE

• Occupational Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.