Active NPI
Kelly Kovar
- Physical Therapist
- Elko, NV
National Provider Identifier
1881022473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.014428
- Practice address
- 421 Railroad St
Taber Building, Suite 206
Elko, NV 89801-3764 - Phone
- (775) 753-7626
- NPI assigned
- Oct 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.014428 | OH | Primary |
| Physical Therapist | 225100000X | P14518 | NC |
Addresses
Primary practice location
421 Railroad St
Taber Building, Suite 206
Elko, NV 89801-3764
Mailing address
421 Railroad St
Taber Building, Suite 206
Elko, NV 89801-3764
Phone (330) 221-0392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P14518 | Other | NC | NORTH CAROLINA BOARD OF PHYSICAL THERAPY |
| PT.014428 | Other | OH | OHIO STATE BOARD OF PHYSICAL THERAPY |
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 |
|---|---|---|---|
| P14518 | NC | MD | Physical Therapist |
| PT.014428 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Home Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Elko, NV
- NPI 1285729251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1881022473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 RAILROAD ST",
"address_2": "TABER BUILDING, SUITE 206",
"city": "ELKO",
"state": "NV",
"postal_code": "898013764",
"telephone_number": "330-221-0392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 RAILROAD ST",
"address_2": "TABER BUILDING, SUITE 206",
"city": "ELKO",
"state": "NV",
"postal_code": "898013764",
"telephone_number": "775-753-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAR",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.014428",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14518",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF PHYSICAL THERAPY",
"identifier": "P14518",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHYSICAL THERAPY",
"identifier": "PT.014428",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.