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

Mr. Kevin N Kopack, MSPT

Individual provider Physical Therapist · NPI 1003967381

Mr. Kevin N Kopack, MSPT is a Physical Therapist in Private Practice in Fairfield, New Jersey. Qualified in 1985, 41 years ago. Practices with Kevin Norman Kopack, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
41
Licensed in
NJ
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

297 Passaic Ave Ste 3
Fairfield, NJ 07004-2548
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.

Additional practice locations (1)

  • 20 Greenwood Lake Tpke, Ringwood, NJ 07456-1500 — (973) 616-0442

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence NJQA03353 (NJ)
Physical Therapist Taxonomy 225100000X · Licence NJ40QA00335300 (NJ)

Record details

NPI number1003967381
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJune 28, 2025
Certification dateJune 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Kevin Norman Kopack — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfield