Active NPI
Melissa J Koehn, P.T.
- Physical Therapist
- Silver Spring, MD
National Provider Identifier
1043420839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23751
- Practice address
- 8401 Colesville Rd
Ste 50
Silver Spring, MD 20910 - Phone
- (301) 588-7888
- Fax
- (301) 587-5002
- NPI assigned
- May 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5407 | SC | |
| Physical Therapist | 225100000X | 23751 | MD | Primary |
Addresses
Primary practice location
8401 Colesville Rd
Ste 50
Silver Spring, MD 20910
Mailing address
8401 Colesville Rd
Ste 50
Silver Spring, MD 20910
Phone (301) 588-7888
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23751 | MD | MD | Physical Therapist |
| 5407 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1043420839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 COLESVILLE RD",
"address_2": "STE 50",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20910",
"telephone_number": "301-588-7888",
"fax_number": "301-587-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 COLESVILLE RD",
"address_2": "STE 50",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20910",
"telephone_number": "301-588-7888",
"fax_number": "301-587-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHN",
"first_name": "MELISSA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5407",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.