Individual provider Active NPI

Deborah L. Kochman, MSPT

  • Pediatric Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1104133891
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
019162-1 Issued in NY
Practice address
7206 Loubet St
Forest Hills, NY 11375-6723
Phone
(718) 896-2614
Fax
(718) 896-2614
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 019162-1 NY Primary

Addresses

Primary practice location

7206 Loubet St
Forest Hills, NY 11375-6723

Mailing address

7206 Loubet St
Forest Hills, NY 11375-6723
Phone (718) 896-2614

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

State licenses

LicenseStateTypeSpecialty
019162-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1104133891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 LOUBET ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756723",
            "telephone_number": "718-896-2614",
            "fax_number": "718-896-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7206 LOUBET ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756723",
            "telephone_number": "718-896-2614",
            "fax_number": "718-896-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHMAN",
        "first_name": "DEBORAH",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "019162-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.