Active NPI
Matthew Kosar, DPT
- Physical Therapist
- Fogelsville, PA
National Provider Identifier
1689219776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026641
- Practice address
- 1251 Turnstone Dr
Fogelsville, PA 18051-1713 - Phone
- (484) 822-5152
- NPI assigned
- Nov 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT026641 | PA | Primary |
Addresses
Primary practice location
1251 Turnstone Dr
Fogelsville, PA 18051-1713
Mailing address
5750 Buckingham CT
Laurys Station, PA 18059-1001
Phone (610) 417-7112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT026641 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1689219776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 BUCKINGHAM CT",
"city": "LAURYS STATION",
"state": "PA",
"postal_code": "180591001",
"telephone_number": "610-417-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 TURNSTONE DR",
"city": "FOGELSVILLE",
"state": "PA",
"postal_code": "180511713",
"telephone_number": "484-822-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSAR",
"first_name": "MATTHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fogelsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.