Alice Kay Koshevatskiy, PT
NPI 1699550145ActiveIndividual· Physical Therapist· Stanley, ND
Physical Therapist (PT) with Monterey Spine and Joint PC, practicing in Stanley, North Dakota. Medicare paid $36,851 for services to 65 patients in 2024.
Overview
| NPI | 1699550145 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 31, 2023 |
| Last updated in NPPES | Aug 31, 2023 |
| Certified by provider | Aug 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 16427 | WI |
| Physical Therapist | 225100000X | 5779 | HI |
| Physical Therapist | 225100000X | CP022489T | ND |
| Physical Therapist | 225100000X | 070027454 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 1,550 across 6 procedure codes |
| Paid by Medicare | $36,851 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Monterey Spine and Joint PCMonterey, CA · 75 clinicians
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