Peter James Kowalkowski, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-014116 Issued in IL

Practice address

1570 Beam Ave
Suite 200
Maplewood, MN 55109-1166

Phone

(651) 232-7820

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

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.

• Oad Orthopaedics, LTD

  • Specialist
  • Warrenville, IL
  • NPI 1801844642

  Physical Therapist

  NPD (past)
• Ortho-Sport, Inc.

  • Physical Therapist
  • Forest Park, IL
  • NPI 1942379110
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391817600000",
    "number": "1568414324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BEAM AVE",
            "address_2": "SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091166",
            "telephone_number": "651-232-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BEAM AVE",
            "address_2": "SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091166",
            "telephone_number": "651-232-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALKOWSKI",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Koons
• Sommer Angeline Kopff, CCC-SLP
• Madeleine Jolie Kopp, MS, LPCC
• Rahul Koranne, MD
• Olivia Korngable, PT, DPT
• Mackaulie Krantz, MS, CRC
• Debra Kay Kratz, LICSW
• Amy L Kraus, MD
• Bianca Krause
• John Francis Krawczyk, DDS

• Physical Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; 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.