Justin Mark Kotlarczyk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21555 Issued in FL

Practice address

2722 Manatee Ave W
Suite 2
Bradenton, FL 34205-4945

Phone

(941) 744-9046

Fax

(941) 744-9046

NPI assigned

Dec 9, 2005

Last updated

Aug 10, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Anesthesia and Pain Physicians of Florida, PA

  dba Pain Relief Center of Florida

  • Specialist
  • Bradenton, FL
  • NPI 1982815080
  Medicare reassignment NPD
• Club 50, LLC

  dba Fyzical

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1386034825
  NPD (past)
• Equest Physical Therapy

  • Physical Therapy Clinic/Center
  • Palmetto, FL
  • NPI 1093129181
  NPD (past)
• European Physical Therapy LC

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1295740967

  Physical Therapist

  NPD (past)
• Independent Anesthesiologists, PLLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1841614674
  NPD (past)
• Rehabfirst Inc

  dba RehabFirst Physical Therapy

  • Physical Therapist
  • Bradenton, FL
  • NPI 1588754816
  NPD (past)
• Request Physical Therapy Inc

  • Physical Therapist
  • Bradenton, FL
  • NPI 1356440523
  NPD (past)
• Venice Rehab, LLC

  dba FYZICAL Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Venice, FL
  • NPI 1447251947

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1649255852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 3RD AVE W",
            "address_2": "STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058641",
            "telephone_number": "941-708-9555",
            "fax_number": "941-708-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MANATEE AVE W",
            "address_2": "SUITE 2",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054945",
            "telephone_number": "941-744-9046",
            "fax_number": "941-744-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLARCZYK",
        "first_name": "JUSTIN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y060C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Koshko, APRN
• Mary Koshy, M.D.
• Juliet Kosichenko, DO
• Parth A. Kothari, MD
• Gregory George Kotlarczyk, D.C.
• Manjula Kotwal, RPH
• Douglas James Kovatch, M.D.
• Svetlana Kovtunova, MD
• Vicki Michelle Kowalski
• Katelyn M Kozinski-Burkhart, PA-C

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.