Alice Kay Koshevatskiy, PT

Physical Therapist · Stanley, ND

Call (701) 628-8646 Directions

At a glance

615 6Th St Se, Stanley, ND 58784-4444

NPPES record updated Aug 31, 2023. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

615 6Th St Se
Stanley, ND 58784-4444

Additional reported practice locations

284 W Greenfield Ave
Algoma, WI 542011127
Phone: 8474316353
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Not reported in this file
Graduation year
2023
CMS specialties
Physical Therapist In Private Practice

Practice groups

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Advertisement
Advertising spaceAdvertisements are separate from provider records.
PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

Explore similar providers →
PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1699550145
Call Directions

Registry details

Primary taxonomy
Physical Therapist
Taxonomy code
225100000X
Enumeration date
Aug 31, 2023
Record updated
Aug 31, 2023
More registry details
Provider type
Individual · Type 1
Reported credentials
PT

Reported taxonomies and licenses

Physical Therapist

225100000X

License reported: 5779 HI

Physical Therapist

225100000X

License reported: CP022489T ND

Physical Therapist

225100000X

License reported: 070027454 IL

Physical Therapist

225100000X · Primary

License reported: 16427 WI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

615 6Th St Se
Stanley, ND 58784-4444
Phone
(701) 628-8646
Mailing address
PO BOX 399

STANLEY, ND 587840399
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue