Provider Demographics
NPI:1215979745
Name:KOSINSKI, FRANCIS JOHN (MPT)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JOHN
Last Name:KOSINSKI
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:302-793-1800
Mailing Address - Fax:302-793-0800
Practice Address - Street 1:4 N PARKE ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2436
Practice Address - Country:US
Practice Address - Phone:410-297-8141
Practice Address - Fax:410-297-8142
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19277225100000X
DEJ10001778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00400284OtherRR MEDICARE
PA0656032000OtherAMERIHEALTH
0656032000OtherAMERIHEALTH IBC
PA337437OtherPA BS
337437OtherPABS
1215979745OtherCHAMPUS
DE1215979745Medicaid
68597829OtherNCA
5070-0036OtherCARE FIRST
P85140Medicare UPIN
DE136139Y0XMedicare PIN
PA0656032000OtherAMERIHEALTH
1215979745OtherCHAMPUS
MD313PR677Medicare PIN