Carol L Kowalski, PT
Individual provider Active NPI Physical Therapist · Oceanside, NY
NPI 1811020274 · NPPES record last updated Jun 25, 2009
Key facts
- NPI
- 1811020274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501003699 (MI)
- Practice address
- 12 Neil CT
Oceanside, NY 11572-5816 - Phone
- (516) 766-1452
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501003699 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501003699 | MI | Yes |
| Physical Therapist | 225100000X | 031438 | NY |
Addresses
Primary practice location
12 Neil CT
Oceanside, NY 11572-5816
Mailing address
12 Neil CT
Oceanside, NY 11572-5816
Phone (516) 766-1452
Other providers in Oceanside, NY
- Diana Catherine Kontonotas-Willis
- Akua T Kordieh
- Brett Kornblum
- Craig Kornreich
- Avraham Kosoff
- Robert J Kramer
- Sean G Krapf
- Ovidiu A. Krausz
- Adam J Kritzberg
- Cassandra Krummel
All providers in Oceanside, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.