Active NPI
Rachel Kozak, CCC-SLP
- Athletic Trainer
- Bel Air, MD
National Provider Identifier
1861965642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 04488
- Practice address
- 1322 Streamview Rd
Bel Air, MD 21015-5026 - Phone
- (443) 414-2363
- NPI assigned
- Jan 4, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 04488 | MD | Primary |
Addresses
Primary practice location
1322 Streamview Rd
Bel Air, MD 21015-5026
Mailing address
1322 Streamview Rd
Bel Air, MD 21015-5026
Phone (443) 414-2363
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04488 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1861965642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 STREAMVIEW RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155026",
"telephone_number": "443-414-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 STREAMVIEW RD",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210155026",
"telephone_number": "443-414-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZAK",
"first_name": "RACHEL",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "04488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.