Individual provider Active NPI

Alyse Brooke Kovacsik, D.P.T.

  • Physical Therapist
  • Linwood, NJ
National Provider Identifier
1861782419
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01594100 Issued in NJ
Practice address
314 Central Ave
Suite 2a
Linwood, NJ 08221-2005
Phone
(609) 365-8499
Fax
(609) 365-8498
NPI assigned
Apr 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01594100 NJ Primary

Addresses

Primary practice location

314 Central Ave
Suite 2a
Linwood, NJ 08221-2005

Mailing address

3 N Essex Ave
Margate City, NJ 08402-1823
Phone (856) 906-8048

Other names 1

  • Alyse Brooke Cohen Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1861782419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N ESSEX AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021823",
            "telephone_number": "856-906-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CENTRAL AVE",
            "address_2": "SUITE 2A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212005",
            "telephone_number": "609-365-8499",
            "fax_number": "609-365-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACSIK",
        "first_name": "ALYSE",
        "middle_name": "BROOKE",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-17",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01594100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "COHEN",
            "middle_name": "BROOKE",
            "credential": "D.P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.