John Francis Kosiak, PT, ATC
Individual provider Active NPI Physical Therapist · Wishek, ND
NPI 1952508608 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952508608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1293 (ND)
- Practice address
- 1007 4TH Ave S.
Wishek, ND 58495-0000 - Phone
- (701) 452-3143
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1293 | ND | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1293 | ND | Yes |
Addresses
Primary practice location
1007 4TH Ave S.
Wishek, ND 58495-0000
Mailing address
204 8TH Street South
Wishek, ND 58495-0091
Phone (701) 452-3143
Other providers in Wishek, ND
- Bonnie Dewald
- Isabella Kathryn Dosan
- Froehling Therapeutic Services PC
- Eric J Froehling
- Rosemary Hauff
- Maureen Ann Kosiak
- Jayme Martell
- Riley Mattheis
- Angela M Parker
- Kay Rau
All providers in Wishek, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.