Alyssa Kozak, is a
Physical Therapy Assistant based in Sterling Heights, Michigan. Alyssa Kozak is licensed to practice in Michigan (license number 5502005636) and her current practice location is
13439 E 14 Mile Rd, Sterling Heights, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 685-0505.
NPI number for Alyssa Kozak is 1083190524 and her current mailing address is 25775 W 10 Mile Rd Ste C, Southfield, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083190524.
Healthcare Provider's Profile
Full Name | Alyssa Kozak |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 13439 E 14 Mile Rd, Sterling Heights, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083190524
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 07/18/2018
Medical Identifiers
Medical identifiers for Alyssa Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083190524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 7501000205 (Michigan) | Secondary |
225200000X | Physical Therapy Assistant | 5502005636 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Kozak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alyssa Kozak, 25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856 Ph: (248) 809-9941 | Alyssa Kozak, 13439 E 14 Mile Rd, Sterling Heights, MI 48312-6304 Ph: (586) 685-0505 |
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