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

Individual provider Physical Therapist · NPI 1710199104

Diane Marie Kozar, RPT is a Physical Therapist in Fairport, New York. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

116 Nettlecreek Rd
Fairport, NY 14450-3056
Phone: (585) 223-7024
Fax: (585) 223-9579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 012670-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 15211 (CA)

Record details

NPI number1710199104
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPT
Sole proprietorYes
NPI enumeratedMay 6, 2007
Last updated in NPPESJuly 9, 2007

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