Individual provider Active NPI

Kathleen Ann Jakubiak Kovacek

  • Physical Therapist
  • Harper Woods, MI
National Provider Identifier
1891718441
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501001630 Issued in MI
Practice address
20225 Danbury LN
Harper Woods, MI 48225-1156
Phone
(313) 884-8920
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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 5501001630 MI Primary

Addresses

Primary practice location

20225 Danbury LN
Harper Woods, MI 48225-1156

Mailing address

20225 Danbury LN
Harper Woods, MI 48225-1156

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

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Physical Therapy, LLC Physical Therapist PastSince Apr 11, 2022 Accepting new patients
Kovacek Peterson Management LLC Physical Therapist Past Accepting new patients
HC Rehab Solutions LLC Physical Therapist PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1891718441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 DANBURY LN",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 DANBURY LN",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251156",
            "telephone_number": "313-884-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBIAK KOVACEK",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.