NPIMap

Organization Active NPI

Kozak P T & Assoc Inc

  • Orthopedic Physical Therapist
  • Seminole, FL
National Provider Identifier
1932323839
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 3271 Issued in FL
Legal business name
KOZAK P T & ASSOC INC
Practice address
10099 Seminole Blvd
Suite 5a
Seminole, FL 33772-2521
Phone
(727) 399-8226
Fax
(727) 393-4823
NPI assigned
Apr 12, 2007
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Mr. John Andrew Kozak, P.T.NPI 1508022773
Title
Administrator
Phone
(727) 399-8226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 3271 FL Primary

Addresses

Primary practice location

10099 Seminole Blvd
Suite 5a
Seminole, FL 33772-2521

Mailing address

10099 Seminole Blvd
Suite 5a
Seminole, FL 33772-2521
Phone (727) 399-8226

Other identifiers 5

IdentifierTypeStateIssuer
R5HOtherFLBCBS
Y4593OtherFLBCBS
360474900OtherFLACS
5288337OtherFLAETNA
890763300MedicaidFL

National Provider Directory

National Provider Directory

Locations

10099 Seminole Blvd
Ste A5
Seminole, FL 33772
Phone (727) 399-8226

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1932323839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 SEMINOLE BLVD",
            "address_2": "SUITE 5A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722521",
            "telephone_number": "727-399-8226",
            "fax_number": "727-393-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 SEMINOLE BLVD",
            "address_2": "SUITE 5A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722521",
            "telephone_number": "727-399-8226",
            "fax_number": "727-393-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOZAK P T & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-399-8226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT 3271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R5H",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y4593",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "360474900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5288337",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890763300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

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

Verify at the official NPI Registry.