Stanislav Kozin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036066 Issued in NY

Practice address

5 Lisa LN
Nanuet, NY 10954-1716

Phone

(845) 536-3860

NPI assigned

Nov 18, 2024

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kozin Physical Therapy PLLC

  • Physical Therapist
  • Nanuet, NY
  • NPI 1770474637
  Medicare reassignment NPD Authorized official
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1790500601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LISA LN",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LISA LN",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109541716",
            "telephone_number": "845-536-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIN",
        "first_name": "STANISLAV",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Age Kola, LPN
• Justin Konig, MD
• Jeanny S Koo, L.AC.
• Koryo Acupuncture PC
• Kozin Physical Therapy PLLC
• Barry S Kraushaar, MD
• Lawrence Eric Krawitz, M.D.
• Betty Kui, PA-C
• Marisa Kuropatkin, LMHC
• KZS 2 Optical, Inc.

• Physical Therapist in Nanuet, NY
• Providers in Nanuet, 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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.