Provider Demographics
NPI:1265495022
Name:KOVACS, KAREN W (PT, MS PT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:W
Last Name:KOVACS
Suffix:
Gender:F
Credentials:PT, MS PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:350 NEW FIDELITY CT
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2665
Mailing Address - Country:US
Mailing Address - Phone:919-258-2714
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:7190 CHAPMAN DR
Practice Address - Street 2:
Practice Address - City:HAYES
Practice Address - State:VA
Practice Address - Zip Code:23072-3416
Practice Address - Country:US
Practice Address - Phone:800-464-2302
Practice Address - Fax:804-642-3467
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305203990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010140277Medicaid
VA192960OtherBCBS PHYSICAL THERAPY
7558580OtherAETNA
VAP00213953OtherRAILROAD MEDICARE
VA010140277Medicaid
VAC05954Medicare PIN