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

Jeremy Travis Kozen, PTA

Individual provider Physical Therapy Assistant · NPI 1689398075

Jeremy Travis Kozen, PTA is a Physical Therapy Assistant in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

400 Tracy Way Ste 100
Charleston, WV 25311-1280
Phone: (304) 720-0205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA000975 (WV)

Record details

NPI number1689398075
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

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