Peter Ray Kovacek, PT
Individual provider Active NPI Physical Therapist · Harper Woods, MI
NPI 1700850252 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1700850252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501001577 (MI)
- Practice address
- 19701 Vernier Rd
Harper Woods, MI 48225-1467 - Phone
- (313) 884-8920
- Fax
- (313) 884-8510
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501001577 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Physical Therapy Troy, LLC | Physical Therapist | Current | Accepting new patients |
| Saginaw Physical Therapy and Rehab Specialists LLC | Physical Therapist | Past |
Accepting new patients |
| HC Rehab Solutions LLC | Physical Therapist | Past |
Accepting new patients |
| Kovacek Peterson Management LLC | Physical Therapist | Past |
Accepting new patients |
| Impact Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| 1St Choice Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
| Destination Medical Equipment LLC | Past | Accepting new patients |
Locations
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501001577 | MI | Yes |
Addresses
Primary practice location
19701 Vernier Rd
Harper Woods, MI 48225-1467
Mailing address
20225 Danbury LN
Harper Woods, MI 48225-1156
Phone (313) 492-4293
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650H258050 | Other | MI | BCBSM |
| 11549713 | Other | MI | CAQH |
Other providers in Harper Woods, MI
- Amanda Kidd
- Ann Marie Kilroy
- Jalecia Kimbrough
- Chelsea Jenelle Kishler
- KKR Care LLC
- Kroger Co of Michigan
- Lynn M Kujawski
- Athena T Lavender
- Kristen Anne Leach
- Michele Loeffler
All providers in Harper Woods, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.