Koenig Physical Medicine PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KOENIG PHYSICAL MEDICINE PLLC

Practice address

800 W 18TH St Ste 120
Edmond, OK 73013-3759

Phone

(405) 726-2727

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Desiree Ann Koenig

Title

Office Manager

Phone

(405) 726-2727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

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

• Jacob Blair

  • Chiropractor
  • Edmond, OK
  • NPI 1194543868
  Medicare reassignment Care Compare group NPD
• Anthony Cox, DC

  • Chiropractor
  • Midwest City, OK
  • NPI 1467856781
  Medicare reassignment Care Compare group NPD
• Brant Thomas Koenig, D.C.

  • Chiropractor
  • Edmond, OK
  • NPI 1619079332
  Medicare reassignment Care Compare group NPD
• Karen A Mahlmeister, DC

  • Chiropractor
  • Edmond, OK
  • NPI 1326115122
  Medicare reassignment NPD
• John Terry Godfrey, D.C.

  • Chiropractor
  • Wabash, IN
  • NPI 1992876262

  OK

  Medicare reassignment

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1154037554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133759",
            "telephone_number": "405-726-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 18TH ST STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133759",
            "telephone_number": "405-726-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOENIG PHYSICAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-726-2727"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamla Knight, DC
• Jamie Joann Knisley, PHARMD
• Karyl S. Knopps, A.R.N.P.
• Kim B. Knox, NP
• Koenig Healthcare Edmond PLLC
• Brant Thomas Koenig, D.C.
• Glenn Alan Koester, MD
• Megan N Koger
• Nicole Ruth Kohler, PT, DPT
• Sabina Koirala

• All providers in Edmond, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.