Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice Kay Koshevatskiy, PT

Individual provider Physical Therapist · NPI 1699550145

Alice Kay Koshevatskiy, PT is a Physical Therapist in Private Practice in Stanley, North Dakota. Qualified in 2023, 3 years ago. Practices with Monterey Spine and Joint PC, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii, Illinois, North Dakota and Wisconsin.

Years since qualifying
3
Licensed in
HI, IL, ND, WI
In the registry since
2023
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

615 6th St SE
Stanley, ND 58784-4444
Phone: (701) 628-8646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 284 W Greenfield Ave, Algoma, WI 54201-1127 — (847) 431-6353

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16427 (WI)
Physical Therapist Taxonomy 225100000X · Licence 5779 (HI)
Physical Therapist Taxonomy 225100000X · Licence CP022489T (ND)
Physical Therapist Taxonomy 225100000X · Licence 070027454 (IL)

Record details

NPI number1699550145
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Monterey Spine And Joint Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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