Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Michael Kopack, PT, DPT

Individual provider Physical Therapist · NPI 1659772523

Jeffrey Michael Kopack, PT, DPT is a Physical Therapist in Private Practice in Fairfield, New Jersey. Qualified in 2014, 12 years ago. Practices with Kevin Norman Kopack, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

297 Passaic Ave Unit 3
Fairfield, NJ 07004-2503
Phone: (973) 227-4280
Fax: (973) 227-4210
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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 40QA01573400 (NJ)

Record details

NPI number1659772523
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2014
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kevin Norman Kopack — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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