Individual provider Active NPI

Kenneth John Kowalsky, P.T.

  • Physical Therapist
  • Falmouth, ME
National Provider Identifier
1396839932
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2105 Issued in ME
Practice address
5 Fundy Rd
Falmouth, ME 04105-1774
Phone
(207) 781-8358
Fax
(207) 781-8357
NPI assigned
Oct 3, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2105 ME Primary

Addresses

Primary practice location

5 Fundy Rd
Falmouth, ME 04105-1774

Mailing address

5 Fundy Rd
Falmouth, ME 04105-1774
Phone (207) 781-8358

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Therapy, LLC Physical Therapist Past Accepting new patients
Greater Brunswick Physical Therapy P.a. Physical Therapist PastSince May 9, 2010 Accepting new patients
Dr. Baum Neuropsychology, PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1396839932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051774",
            "telephone_number": "207-781-8358",
            "fax_number": "207-781-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051774",
            "telephone_number": "207-781-8358",
            "fax_number": "207-781-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKY",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.