Nicholas Kostovich, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

26020 Issued in FL

Practice address

211 S Narcissus Ave # Mu-1
West Palm Beach, FL 33401-5654

Phone

(561) 790-8256

NPI assigned

Nov 6, 2024

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

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.

• S2 Physical Therapy P.a.

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1093378556
  NPD

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1679396659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10683 SW CAM RUN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872351",
            "telephone_number": "716-903-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S NARCISSUS AVE # MU-1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334015654",
            "telephone_number": "561-790-8256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585264",
            "country_code": "US",
            "telephone_number": "561-790-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTOVICH",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "26020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Korber, LCSW
• Lisa Korman
• Sergey Korol, D.M.D.
• Francisca N Koser
• Jason Kosma
• Benjamin Kosubevsky, DO
• Beatriz Elizabeth Kouracles, MBA, BCBA, LBA
• Dawn Denise Kovac, D.D.S.
• Eva Kovacs, BA
• Gyula Kovacs

• Physical Therapy Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.