Renee Kovalcik, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013161 Issued in OH

Practice address

1 Infinity Corporate Centre Dr
Suite 160
Cleveland, OH 44125-5369

Phone

(216) 587-3310

Fax

(216) 518-2968

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Leach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1881814184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 ROYALTON RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334008",
            "telephone_number": "440-230-1133",
            "fax_number": "440-230-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INFINITY CORPORATE CENTRE DR",
            "address_2": "SUITE 160",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441255369",
            "telephone_number": "216-587-3310",
            "fax_number": "216-518-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALCIK",
        "first_name": "RENEE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LEACH",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Jean Kovach, MD
• Michael Kovack
• Christopher Scott Kovacs Jr., M.D.
• Tamas Kovacs
• Christine Koval, MD
• Gordana Kovcic, RBT
• Alexander Koven
• Jan Ellen Kover, R.PH
• Matthew Koviak, AGACNP-BC
• Kayla Kowall, LPN

• Physical Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.