Dirk Kokmeyer, PT, SCS, COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4610 Issued in ME

Practice address

22 Station Ave Ste 201
Brunswick, ME 04011-2092

Phone

(207) 721-8411

NPI assigned

Apr 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forza Physical Therapy LLCGroup PAC ID 5496118259, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forza Physical Therapy, LLC

  • Physical Therapist
  • Augusta, ME
  • NPI 1871287441
  Medicare reassignment Care Compare group NPD Authorized official
• Maine Medical Partners

  • Surgery Physician
  • Portland, ME
  • NPI 1285738310
  Medicare reassignment NPD
• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Maine Medical Partners

  • Surgery Physician
  • Scarborough, ME
  • NPI 1346687167
  NPD
• Maine Medical Partners

  • Orthopaedic Surgery Physician
  • Falmouth, ME
  • NPI 1891083119
  NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1760436216
  NPD
• Proaxis Denver, LLC

  • Sports Physical Therapist
  • Denver, CO
  • NPI 1609037043
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1093980484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800",
            "fax_number": "207-482-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STATION AVE STE 201",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112092",
            "telephone_number": "207-721-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKMEYER",
        "first_name": "DIRK",
        "credential": "PT, SCS, COMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093980484",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Bartlett Klockow, L.C.P.C
• Steven Harrison Klockow, L.C.S.W.
• Anita M Knopp, D.C.
• Cynthia Knox
• Carol Kohls, PTA
• Sarah Kopke, PA
• Gabriela Kovacikova, MD
• Letha Kowalsky, PT
• Elizabeth D Kramer, LCSW
• Maureen Jeanne Kronenberger, OTR/L

• Physical Therapist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.