Diane Marie Kozar, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012670-1 Issued in NY

Practice address

116 Nettlecreek Rd
Fairport, NY 14450-3056

Phone

(585) 223-7024

Fax

(585) 223-9579

NPI assigned

May 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710199104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NETTLECREEK RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503056",
            "telephone_number": "585-223-7024",
            "fax_number": "585-223-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NETTLECREEK RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503056",
            "telephone_number": "585-223-7024",
            "fax_number": "585-223-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAR",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012670-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "15211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02809007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David William Kopp, MD
• Korn and Romano DDS PLLC
• Stephen Michael Korn, D.D.S.
• Karen M Kovach, SP. ED. TEACHER
• Teri Lou Kowal, MA., CCC-A
• Linda Kozelsky, RN
• David M Kramer, DDS
• Jennifer Lynne Kraus
• Katherine Kretchmer, OTR/L
• Brian M Kritzman, DDS

• Physical Therapist in Fairport, NY
• Providers in Fairport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.