Individual provider Active NPI

Peter Ray Kovacek, PT

  • Physical Therapist
  • Harper Woods, MI
National Provider Identifier
1700850252
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501001577 Issued in MI
Practice address
19701 Vernier Rd
Harper Woods, MI 48225-1467
Phone
(313) 884-8920
Fax
(313) 884-8510
NPI assigned
Feb 13, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501001577 MI Primary

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

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501001577MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Physical Therapy Troy, LLC Physical Therapist Current Accepting new patients
Destination Medical Equipment LLC Past Accepting new patients
Saginaw Physical Therapy and Rehab Specialists LLC Physical Therapist PastSince Feb 12, 2001 Accepting new patients
HC Rehab Solutions LLC Physical Therapist PastSince Jun 1, 2018 Accepting new patients
Impact Physical Therapy, LLC Physical Therapist Past Accepting new patients
Kovacek Peterson Management LLC Physical Therapist PastSince May 1, 1992 Accepting new patients
1St Choice Physical Therapy, LLC Physical Therapist PastSince Apr 11, 2022 Accepting new patients

Locations

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1700850252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 DANBURY LN",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251156",
            "telephone_number": "313-492-4293",
            "fax_number": "313-884-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251467",
            "telephone_number": "313-884-8920",
            "fax_number": "313-884-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACEK",
        "first_name": "PETER",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.