Active NPI
Jean M Kovach, PT
- Physical Therapist
- Lockport, NY
National Provider Identifier
1366689614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007868-1
- Practice address
- 28 Harding Ave.
Lockport Early Childhood Program
Lockport, NY 14094 - Phone
- (716) 478-4447
- Fax
- (716) 478-4427
- NPI assigned
- Jan 8, 2009
- Last updated
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007868-1 | NY | Primary |
Addresses
Primary practice location
28 Harding Ave.
Lockport Early Childhood Program
Lockport, NY 14094
Mailing address
4853 Upper Mountain Rd
Lockport, NY 14094-9632
Phone (716) 439-5886
Other names 1
- Miss Jean M Hufnagel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007868-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1366689614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4853 UPPER MOUNTAIN RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949632",
"telephone_number": "716-439-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 HARDING AVE.",
"address_2": "LOCKPORT EARLY CHILDHOOD PROGRAM",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-478-4447",
"fax_number": "716-478-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACH",
"first_name": "JEAN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "007868-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "HUFNAGEL",
"middle_name": "M",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.