Rodd Koch, P.T.
Individual provider Active NPI Physical Therapist · Wynantskill, NY
NPI 1134423924 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1134423924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 019307-1 (NY)
- Practice address
- 32 Francis Dr
Wynantskill, NY 12198-8781 - Phone
- (518) 286-9021
- NPI assigned
- Jan 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
32 Francis Dr
Wynantskill, NY 12198-8781
Phone (518) 813-1629
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110623000401 | NY | Practitioner - Physical Therapist in Private Practice | 2062690944 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019307-1 | NY | MD | Physical Therapist |
| 019307 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodd Koch Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019307-1 | NY | Yes |
Addresses
Primary practice location
32 Francis Dr
Wynantskill, NY 12198-8781
Mailing address
32 Francis Dr
Wynantskill, NY 12198-8781
Phone (518) 286-9021
Other providers in Wynantskill, NY
- Yomecia Dewan Johnston
- Melissa Kamp
- Danielle Karen Kane
- Kenneth March, DPM, PLLC
- Laura Ann Klein
- Debbie Ann Lajeunesse
- Grace M Loucks
- Charlene Mary Madarassy
- Patricia Jean Manning
- Kenneth March
All providers in Wynantskill, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.