George Ronald Kocsis Jr., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002963 Issued in WA

Practice address

Providence St. Mary Medical Center 401 W. Poplar St.
Walla Walla, WA 99362-4619

Phone

(509) 897-2100

Fax

(509) 897-5508

NPI assigned

May 23, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083872345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDENCE ST. MARY MEDICAL CENTER 401 W. POPLAR ST.",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-897-2100",
            "fax_number": "509-897-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROVIDENCE ST. MARY MEDICAL CENTER 401 W. POPLAR ST.",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624619",
            "telephone_number": "509-897-2100",
            "fax_number": "509-897-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCSIS",
        "first_name": "GEORGE",
        "middle_name": "RONALD",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113371",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-498",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Klein, MPT
• Sarah Lynn Grizzell Knapp
• Diane Demeter Knight, PHD, CPNP, APRN-RX
• Jacqueline Jean Knotts, RDH, MLS
• Sierra Knutson
• Thomas P Koehler, MD
• Erik Charles Kofler, D.O.
• Samantha M. Kofler, DDS
• Rosa Kohler
• Charles Thomas Koon, M.D.

• Occupational Therapist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.