MR. KEVIN N KOPACK (MSPT) – Physical Therapist, NPI 1003967381
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ
Provider Addresses for MR. KEVIN N KOPACK (MSPT)
33, Cupsaw Avenue, Erskine Lakes, Ringwood, Passaic County, New Jersey, 07456, United States
RINGWOOD, NJ 074562919
Phone: (973) 962-6568
Type: Mailing
20 Greenwood Lake Tpke
Ringwood, NJ 074561500
Phone: (973) 616-0442
Fax: (973) 616-0442
Type: Location
271, North Basil Street, Baltimore, Liberty Township, Fairfield County, Ohio, 43105, United States
SUITE G106 - FAIRFIELD COMMONS
FAIRFIELD, NJ 070042440
Phone: (973) 276-1313
Type: Location
297 PASSAIC AVE STE 3
FAIRFIELD, NJ 070042548
Phone: (973) 227-4280
Fax: (973) 227-4210
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111019000611 | I | Physical Therapist In Private Practice | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 3,010 | 120 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 2,029 | 151 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,102 | 47 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 119 | 117 | $0 |
Insurance plans in this area (ZIP 07456)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NJ |
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