Jeffrey Michael Kopack, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01573400 Issued in NJ

Practice address

297 Passaic Ave
Unit 3
Fairfield, NJ 07004-2503

Phone

(973) 227-4280

Fax

(973) 227-4210

NPI assigned

Sep 10, 2014

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kevin Norman KopackGroup PAC ID 6204001043, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kevin Norman Kopack

  • Physical Therapy Clinic/Center
  • Fairfield, NJ
  • NPI 1740577964
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1659772523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 PASSAIC AVE",
            "address_2": "UNIT 3",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042503",
            "telephone_number": "973-227-4280",
            "fax_number": "973-227-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 PASSAIC AVE",
            "address_2": "UNIT 3",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042503",
            "telephone_number": "973-227-4280",
            "fax_number": "973-227-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACK",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01573400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Norman Kopack
• Kirti J.Tolia D.D.S.,P.a.
• Earl Lloyd Klay, RPH
• Jing-Yang Elton Ko, D.D.S.
• Jung-Soo Koh
• Kevin N Kopack, MSPT
• Maria Koutsoumbis, MS, CCC-SLP
• Jennifer Kit Kreiger
• Kristen Hanisch LLC
• Lisa Marie Krivis, DPT

• Physical Therapist in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.