Erick J Kozlowski, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2168 Field House Dr
US Air Force, CO 80840-9599

Phone

(719) 333-0214

NPI assigned

Aug 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1780295477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 DERRY PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187068",
            "telephone_number": "719-963-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 FIELD HOUSE DR",
            "city": "US AIR FORCE",
            "state": "CO",
            "postal_code": "808409599",
            "telephone_number": "719-333-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "ERICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Mason Bachmann, M.D.
• Brian Bruce Cameron, M.S.W.
• Jennifer Ann Johnson, PA
• Evan Matthew Jones, M.D.
• Roberta Moore, FNP-C
• Jay C. Neubauer, MD, MPH
• David James Stamps, CRNA
• Rebecca Van Winkle, RN

• Athletic Trainer in US Air Force, CO
• Providers in US Air Force, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.