Active NPI
Amber M Kozlowski, P.T.
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1750603767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8820
- Practice address
- 1450 S Dobson Rd
Suite A302
Mesa, AZ 85202-4741 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Feb 17, 2010
- Last updated
- Mar 3, 2017
- Sex
- Female
- 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 | 8820 | AZ | Primary |
Addresses
Primary practice location
1450 S Dobson Rd
Suite A302
Mesa, AZ 85202-4741
Mailing address
18444 N 25TH Ave
Suite 310
Phoenix, AZ 85023-1264
Phone (866) 974-2673
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8820 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1750603767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE",
"address_2": "SUITE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231264",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 S DOBSON RD",
"address_2": "SUITE A302",
"city": "MESA",
"state": "AZ",
"postal_code": "852024741",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "AMBER",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-17",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Radha Krishna Kothapalli, MD
- Nicholas Spero Kouchis, M.D.
- Taylor Lynn Kovach, PA
- Donna Kowitt
- Dixie Kozak, RN
- Paulina Kozupa, DPT
- Kpa TWS Inc. (Interim HealthCare of Gilbert Az)
- Kpa TWS Inc. (Interim HealthCare of Gilbert AZ)
- KPC Promise Hospital of Phoenix LLC
- Kraemer Medical Inc (Connell Foot Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.