Koch Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KOCH PHYSICAL THERAPY

Practice address

6545 E Larkspur Dr
Scottsdale, AZ 85254-4527

Phone

(602) 373-8780

Fax

(480) 699-4232

NPI assigned

Jan 28, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David Koch, PTNPI 1093008732

Title

Owner

Phone

(602) 373-8780

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Koch, P.T.

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1093008732
  Medicare reassignment NPD Authorized official
• Afam Nwambuonwo

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1609584689
  Medicare reassignment NPD
• Christopher Staples, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1326566894
  Medicare reassignment NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1104457381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 E LARKSPUR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544527",
            "telephone_number": "602-373-8780",
            "fax_number": "480-699-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 E LARKSPUR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544527",
            "telephone_number": "602-373-8780",
            "fax_number": "480-699-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-373-8780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Kobetitsch, DPT
• Justine Kobold
• Kalee Koburi, M.A. ED. CCC-SLP,CLC
• Kathleen M Kobus, NP
• Michelle Aimee Kocela, PA-C
• Brandi Koch, RD
• David B Koch, P.T.
• Nancy V Koch, MD
• Nathan Quinten Koch, P.T.
• Nicole C. Koch, PT, DPT

• Physical Therapy Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.