Active NPIIndividual provider

Mr. Kevin N Kopack, MSPT

Physical Therapist in Fairfield, New Jersey

NPI Number1003967381
Practice location
297 Passaic Ave Ste 3, Fairfield, NJ 07004-2548
Fax
973-227-4210
Last updated
June 28, 2025

Kevin N Kopack is a Physical Therapist based in Fairfield, NJ. Kevin N Kopack practices in Fairfield, NJ and has the professional credentials of MSPT. The NPI Number for Kevin N Kopack is 1003967381 and holds a License No. NJ40QA00335300 (NJ). The current practice location address for Kevin N Kopack is 297 Passaic Ave Ste 3, Fairfield, NJ 07004-2548 and can be reached out via phone at 973-227-4280 and via fax at 973-227-4210.

Provider Profile Details

NPI Number
1003967381
Provider Name
Kevin N Kopack
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
297 Passaic Ave Ste 3, Fairfield, NJ 07004-2548
Phone Number
973-227-4280
Fax Number
973-227-4210
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2007
Last Update Date
June 28, 2025
Certification Date
June 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
297 Passaic Ave Ste 3
Fairfield, NJ 07004-2548
Zip
07004-2548
Phone Number
973-227-4280
Fax Number
973-227-4210
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
33 Cupsaw Ave
Ringwood, NJ 07456-2919
City
Ringwood
State
NJ
Zip
07456-2919
Phone Number
973-962-6568

License Information

License Number (1)
NJ40QA00335300
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
NJQA03353
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin N Kopack, MSPT?

The NPI number of Mr. Kevin N Kopack, MSPT is 1003967381. It was assigned on January 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin N Kopack, MSPT?

Mr. Kevin N Kopack, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number NJ40QA00335300.

Where does Mr. Kevin N Kopack, MSPT practice?

The practice location is 297 Passaic Ave Ste 3, Fairfield, NJ 07004-2548. The office can be reached at 973-227-4280 (phone) or 973-227-4210 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003967381 directly on the NPPES registry website.

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