MR. MICHAEL JOHN KOYACK


Address: 3200 S Water St, Pittsburgh, PA 15203-2307
Phone: 8559377678

MR. MICHAEL JOHN KOYACK (NPI# 1932722766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932722766
Entity Type Individual
Full Name MR. MICHAEL JOHN KOYACK
Credential LAT, ATC, PES
Practice Address 3200 S Water St
Pittsburgh
PA 15203-2307
Mailing Address 500 Tripoli St Apt 202
Pittsburgh
PA 15212-4884
Practice Telephone 8559377678
Mailing Telephone 7168637710
Enumeration Date 2020-05-27
Last Update Date 2020-05-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
RT004355 PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 3200 S WATER ST
City PITTSBURGH
State PA
Zip Code 15203-2307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801880265 Joseph Michael Gatti Specialist/Technologist 3200 S Water St, Pittsburgh, PA 15203-2307 2005-08-31
1285241620 Larissa Jean Symington Specialist/Technologist 3200 S Water St, Pittsburgh, PA 15203-2307 2020-09-29
1891312492 Maria Louise Wunderley Nurse Practitioner 3200 S Water St, Pittsburgh, PA 15203-2307 2020-06-30
1598384984 Gillian E Snow Specialist/Technologist 3200 S Water St, Pittsburgh, PA 15203-2307 2020-04-15
1205462439 Amy Robinson Specialist/Technologist 3200 S Water St, Pittsburgh, PA 15203-2307 2020-03-19
1194371815 Michael King-hon Tsang Physical Therapist 3200 S Water St, Pittsburgh, PA 15203-2307 2019-08-18
1801450176 Mauricio Drummond Junior Student in an Organized Health Care Education/Training Program 3200 S Water St, Pittsburgh, PA 15203-2307 2019-04-23
1619469863 Natalie Sandel Sherry Clinical Neuropsychologist 3200 S Water St, Pittsburgh, PA 15203-2307 2018-06-04
1427545904 Brandon Gillie Clinical Neuropsychologist 3200 S Water St, Pittsburgh, PA 15203-2307 2018-04-19
1477057610 Maggie Sturgill Specialist/Technologist 3200 S Water St, Pittsburgh, PA 15203-2307 2018-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689121154 Ellen Scheidt Counselor 930 E Carson Street, Apt 205, Pittsburgh, PA 15203 2016-09-01
1134572506 Matthew Charek Emergency Medicine 2626 South Tunnel Blvd, Apt 458, Pittsburgh, PA 15203 2016-07-20
1215393418 Mallory Anne Sell Specialist/Technologist 3860 South Water Street, Pittsburgh, PA 15203 2016-01-05
1568834307 Alicia Trbovich Clinical Neuropsychologist 3200 S Water St., Pittsburgh, PA 15203 2015-10-20
1609261288 Brian Godshaw Student in an Organized Health Care Education/Training Program 3200 South Water St. Upmc Freddie Fu Sports Medicine Ce, Pittsburgh, PA 15203 2015-04-01
1346634839 Robin Hall Dunn Student in an Organized Health Care Education/Training Program Upmc Freddie Fu Sports Medicine Center, 3200 S Water Street, Pittsburgh, PA 15203 2015-03-24
1821416736 Ryan Stephen Murray Student in an Organized Health Care Education/Training Program Upmc Rooney Sports Complex, 3200 South Water Street, Pittsburgh, PA 15203 2014-03-29
1154671634 Elizabeth Wolfe Errickson Social Worker 2304 Jane St., Pittsburgh, PA 15203 2012-09-12
1750638052 Lauren Elise Cormier Counselor 330 S. Ninth Street, Pittsburgh, PA 15203 2012-08-07
1093060295 Alice Marcus Okonak Nurse Practitioner Two Hot Metal Street, Second Floor, Quantum One, Pittsburgh, PA 15203 2012-07-13
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831705599 Kaelin Agar Specialist/Technologist 700 Forbes Ave Apt 1017, Pittsburgh, PA 15219-4743 2020-09-18
1225644180 Erin Seiner Specialist/Technologist 381 Wible Run Rd, Pittsburgh, PA 15209-1133 2020-09-16
1740893502 Devon Moore Specialist/Technologist 238 Meyran Ave, Pittsburgh, PA 15213-3304 2020-08-30
1104439942 Benjamin Moss Specialist/Technologist 3423 Forbes Ave # 603, Pittsburgh, PA 15213-3202 2020-08-30
1487267225 Megan Elisabeth Mantsch Specialist/Technologist 3423 Forbes Ave # 905b, Pittsburgh, PA 15213-3202 2020-08-30
1447863329 Peyton Orzello Specialist/Technologist 3445 Ward St, Pittsburgh, PA 15213-4367 2020-08-28
1437762499 Ashley Marie Interrante Specialist/Technologist 300 Heinz St Apt C204, Pittsburgh, PA 15212-5992 2020-08-28
1598378168 Jessie Sun Specialist/Technologist 3320 Ward St Apt 3, Pittsburgh, PA 15213-4443 2020-08-24
1750994398 Caitlin Elizabeth Ogilvie Specialist/Technologist 3423 Forbes Ave # 822b, Pittsburgh, PA 15213-3202 2020-08-24
1508483728 Adam Brown Specialist/Technologist 330 Blvd of The Allies, Pittsburgh, PA 15222-1908 2020-07-03
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Competitor

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City PITTSBURGH
Zip Code 15203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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