Individual provider Active NPI

Kendra Kozyra, PT, DPT

  • Physical Therapist
  • Conshohocken, PA
National Provider Identifier
1407334204
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027125 Issued in PA
Practice address
1628 Butler Pike
Conshohocken, PA 19428-1227
Phone
(610) 832-5335
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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 PT027125 PA Primary

Addresses

Primary practice location

1628 Butler Pike
Conshohocken, PA 19428-1227

Mailing address

351 Hilltop Dr Apt 214
King of Prussia, PA 19406-3335
Phone (609) 579-8434

Other practice location 1

1208 Langhorne Newtown Rd
Langhorne, PA 19047-1234
Phone (267) 560-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000693 PA Practitioner - Physical Therapist in Private Practice 4385988153 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics (SPT), Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Aug 25, 2020 Accepting new patients
Rehabclinics (SPT), Inc. CurrentSince Aug 2, 2018 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. Physical Therapist Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Aug 25, 2020 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Aug 2, 2018 Accepting new patients

Locations

1628 Butler Pike
Conshohocken, PA 19428
Phone (610) 832-5335

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

604 Commons Dr
Ste D3
Oxford, PA 19363
Phone (610) 932-3619

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1407334204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HILLTOP DR APT 214",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063335",
            "telephone_number": "609-579-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 BUTLER PIKE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281227",
            "telephone_number": "610-832-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Langhorne Newtown Rd",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471234",
            "country_code": "US",
            "telephone_number": "267-560-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZYRA",
        "first_name": "KENDRA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.