Pamela Ann Kovar Toledano, PT ED.D

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6847 Issued in NY

Practice address

8 Kenwood St
East Setauket, NY 11733-2048

Phone

(516) 728-8860

NPI assigned

Aug 8, 2013

Sex

Female

Sole proprietor

Yes

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.

• Evolution Home Physical Therapy, P.C.

  • Physical Therapist
  • Port Jefferson, NY
  • NPI 1477564599
  NPD (past)

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1609208024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 KENWOOD ST",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332048",
            "telephone_number": "516-728-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KENWOOD ST",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332048",
            "telephone_number": "516-728-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAR TOLEDANO",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giridhar Korlipara, M.D.
• Stella Ann Korotchen, LCSW
• Anjani Kota, M.D.
• Jean Marie Kotkiewicz, PT, DPT, CLT, WCC
• Stephen Kottmeier, M.D.
• Stephanie Kramer, PA-C
• Kimberly Ann Kranz, M.D.
• Melissa Krause
• Igor Kravets, MD
• Jennifer Kreppein

• All providers in East Setauket, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.