| Mr Kevin N Kopack, MSPT | |
|
297 Passaic Ave Ste 3, Fairfield, NJ 07004-2548 | |
| (973) 227-4280 | |
| (973) 227-4210 |
| Full Name | Mr Kevin N Kopack |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 40 Years |
| Location | 297 Passaic Ave Ste 3, Fairfield, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003967381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | NJ40QA00335300 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | NJQA03353 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kevin Norman Kopack | 6204001043 | 2 |
| Provider Name | Kevin Norman Kopack |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740577964 PECOS PAC ID: 6204001043 Enrollment ID: O20111207000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin N Kopack, MSPT 33 Cupsaw Ave, Ringwood, NJ 07456-2919 Ph: (973) 962-6568 | Mr Kevin N Kopack, MSPT 297 Passaic Ave Ste 3, Fairfield, NJ 07004-2548 Ph: (973) 227-4280 |
Mrs. Rachel Secemski, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 244 Route 46 E, Fairfield, NJ 07004 Phone: 862-702-3420 | |
Sara Wynne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Law Dr, Fairfield, NJ 07004 Phone: 873-556-8465 | |
Mrs. Lisa Marie Krivis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 Route 46 E, Fairfield, NJ 07004 Phone: 862-702-3420 Fax: 862-702-3421 | |
Fairfield Wellness And Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 25 Greenbrook Rd, Fairfield, NJ 07004 Phone: 973-403-9911 Fax: 973-403-9912 | |
Titan Physical Therapy Titan Pt Physical Therapist Medicare: Medicare Enrolled Practice Location: 461 Us Highway 46, Fairfield, NJ 07004 Phone: 570-606-5399 | |
Mr. Justin S. Solotoff, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 271 Us Highway 46, Suite G 106, Fairfield, NJ 07004 Phone: 973-276-1313 |