Active NPI
Jennifer Koot
- Physical Medicine & Rehabilitation Physician
- Newton, MA
National Provider Identifier
1003397183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 9518
- Practice address
- 277 Elliot St
Newton, MA 02464-1297 - Phone
- (617) 527-0023
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 9518 | MA | Primary |
Addresses
Primary practice location
277 Elliot St
Newton, MA 02464-1297
Mailing address
430 Winchester St
Newton Highlands, MA 02461-2011
Phone (857) 413-9887
Other practice location 1
3 Vision Dr
Natick, MA 01760-2078
Phone (508) 651-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1003397183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 WINCHESTER ST",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024612011",
"telephone_number": "857-413-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 ELLIOT ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641297",
"telephone_number": "617-527-0023"
}
],
"practiceLocations": [
{
"address_1": "3 Vision Dr",
"address_purpose": "LOCATION",
"city": "Natick",
"state": "MA",
"postal_code": "017602078",
"country_code": "US",
"telephone_number": "508-651-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOOT",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "9518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.