Adam Kossakowski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046814 Issued in NY

Practice address

1933 Gates Ave
Ridgewood, NY 11385-2434

Phone

(646) 549-1059

NPI assigned

Feb 2, 2021

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, shared by 43 NPIs, 497 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Rockville Centre, NY
  • NPI 1205296902

  Physical Therapist

  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Sicklerville, NJ
  • NPI 1215487772

  Physical Therapist

  Medicare reassignment NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Whitestone, NY
  • NPI 1487104261

  Single Specialty

  NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680

  Physical Therapist

  NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1356932362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 GATES AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852434",
            "telephone_number": "646-549-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 GATES AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852434",
            "telephone_number": "646-549-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSAKOWSKI",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knickerbocker Dialysis Inc
• Steven Alan Kollander, D.D.S.
• Swati Ramchandra Kommu
• Xhina Koni
• Anastazja Kopanski
• Joanna Kowalewski, DDS
• Brian D Krawitz, M.D.
• Amanda Krigsman, SLP-CCC
• Narinder Mohan Kukar, MD
• Richard M. Kulinski, RPH

• Physical Therapist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.