Todd J Kotyk, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-009765-L Issued in PA

Practice address

153 East Pike St.
Canonsburg, PA 15317-1765

Phone

(724) 745-5646

Fax

(724) 745-6062

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Physical Therapy and Rehabilitation Clinic Inc

  • Physical Therapist
  • Atlasburg, PA
  • NPI 1063588093
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487876512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E PIKE ST",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171765",
            "telephone_number": "724-745-5646",
            "fax_number": "724-745-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 EAST PIKE ST.",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171765",
            "telephone_number": "724-745-5646",
            "fax_number": "724-745-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTYK",
        "first_name": "TODD",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-009765-L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "2484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "KO425781",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN PPO PRODUCTS",
            "identifier": "5139764",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11513356",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER NUMBER",
            "identifier": "1279105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian T. Klock, D.C.
• Klockworks Chiropractic, P.C.
• Knizner Family Dental, LLC
• Jill Kogelmann
• Bria Kohler
• Eva Jeanne Kramer, MA, LPC
• Rachel Krawczyk
• Angela Kusturiss Krenzelak
• Kelly Erin Kriley, PA-C
• Ashok Kumar, M.D.

• Physical Therapist in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.