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

Stanislav Kozin, DPT

Individual provider Physical Therapist · NPI 1790500601

Stanislav Kozin, DPT is a Physical Therapist in Private Practice in Nanuet, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2012, 14 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
14
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5 Lisa Ln
Nanuet, NY 10954-1716
Phone: (845) 536-3860
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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 036066 (NY)

Record details

NPI number1790500601
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address5 Lisa Ln, Nanuet, NY 10954-1716

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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