Kevin Norman Kopack

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QAO0335300 Issued in NJ

Legal business name

KEVIN NORMAN KOPACK

Practice address

297 Passaic Ave
Unit 3
Fairfield, NJ 07004-2503

Phone

(973) 227-4280

Fax

(973) 227-4210

NPI assigned

Jul 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Norman Kopack, P.T.NPI 1003967381

Title

Physical Therapist/Owner

Phone

(973) 227-4280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin N Kopack, MSPT

  • Physical Therapist
  • Fairfield, NJ
  • NPI 1003967381
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Michael Kopack, PT, DPT

  • Physical Therapist
  • Fairfield, NJ
  • NPI 1659772523
  Medicare reassignment Care Compare group NPD
• Gary Anfang, P.T.

  • Orthopedic Physical Therapist
  • Ringwood, NJ
  • NPI 1790837268
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1740577964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 PASSAIC AVE STE 3",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042548",
            "telephone_number": "973-227-4280",
            "fax_number": "973-227-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 PASSAIC AVE",
            "address_2": "UNIT 3",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042503",
            "telephone_number": "973-227-4280",
            "fax_number": "973-227-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Greenwood Lake Tpke",
            "address_purpose": "LOCATION",
            "city": "Ringwood",
            "state": "NJ",
            "postal_code": "074561500",
            "country_code": "US",
            "telephone_number": "973-616-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEVIN NORMAN KOPACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-22",
        "status": "A",
        "authorized_official_last_name": "KOPACK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "973-227-4280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QAO0335300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jr Podiatry LLC
• Loreta Kalec, R. EP T.; CNIM
• Salma Karimi, D.M.D.
• KDDS Too, Inc.
• Brooke Keena
• Kirti J.Tolia D.D.S.,P.a.
• Earl Lloyd Klay, RPH
• Jing-Yang Elton Ko, D.D.S.
• Jung-Soo Koh
• Jeffrey Michael Kopack, PT, DPT

• Physical Therapy Clinic/Center in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.