NPI age
3 years
Enumerated 2022-11-01
● Active Type 2 · Organization
Jacqueline Kozak
Jacqueline Kozak is 1 of 251 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kozak
Occupational Therapist
Last NPPES update
2022-12-09
Source: monthly bulk 2026-05
How this organization compares
Across 251 active clinic/center providers in Texas.
NPI age
3 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4402 Williams Dr, 115
Georgetown, TX 786281388
Mailing address
4402 Williams Dr Ste 115
Georgetown, TX 786281388
Authorized official
Jacqueline Kozak
Occupational Therapist
📞 5743617304
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Mihaela Akinwande Behavior Technician NPI 1316508484
- Calli Blaschke Physical Medicine & Rehabilitation NPI 1386163426
- Kenneth Havard, D.D.S. Dentist NPI 1588836183
- Travis Hildebrand, D.D.S. Dentist NPI 1366613978
- Penny Mickan, M.S. Speech-Language Pathologist NPI 1376909127
- Claudya Torres Speech-Language Pathologist NPI 1386379212
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 15748686 | CAQH |
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.