Active NPIOrganization

Kevin Norman Kopack

Clinic/Center, Physical Therapy in Fairfield, New Jersey

NPI Number1740577964
Practice location
297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503
Fax
973-227-4210
Last updated
June 30, 2025

Kevin Norman Kopack is a healthcare organization based in Fairfield, NJ. Kevin Norman Kopack practices in Fairfield, NJ. The NPI Number for Kevin Norman Kopack is 1740577964 and holds a License No. 40QAO0335300 (NJ). The current practice location address for Kevin Norman Kopack is 297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503 and can be reached out via phone at 973-227-4280 and via fax at 973-227-4210.

Provider Profile Details

NPI Number
1740577964
Provider Name
Kevin Norman Kopack
Provider Entity Type
Organization
Address
297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503
Phone Number
973-227-4280
Fax Number
973-227-4210
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Organization Subpart
No
Authorized Official
Mr. Kevin Norman Kopack, PT · Physical Therapist/Owner · 973-227-4280
Provider Enumeration Date
July 8, 2011
Last Update Date
June 30, 2025
Certification Date
June 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
297 Passaic Ave
Unit 3
Fairfield, NJ 07004-2503
Zip
07004-2503
Phone Number
973-227-4280
Fax Number
973-227-4210
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

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

License Information

License Number
40QAO0335300
License State
NJ
Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · 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 Kevin Norman Kopack?

The NPI number of Kevin Norman Kopack is 1740577964. It was assigned on July 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Kevin Norman Kopack?

Kevin Norman Kopack is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QAO0335300.

Where does Kevin Norman Kopack practice?

The practice location is 297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503. 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 1740577964 directly on the NPPES registry website.

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