Joseph Richard Kotch Jr., MPT
Individual provider Active NPI Physical Therapist · Belleville, PA
NPI 1154446045 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154446045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT005942L (PA)
- Practice address
- 4702 E Main St
Belleville, PA 17004-9299 - Phone
- (717) 935-2105
- Fax
- (717) 935-5109
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT005942L | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005942L | PA | Yes |
Addresses
Primary practice location
4702 E Main St
Belleville, PA 17004-9299
Mailing address
50 Carriega House Lane
Apt #2
Reedsville, PA 17084-9650
Phone (717) 667-3490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007565600002 | Medicaid | PA | |
| 606800 | Other | PA | HIGHMARK |
| 01986001 | Other | PA | CAPITOL BLUE CROSS |
Other providers in Belleville, PA
- Timothy Ewing
- Geisinger Clinic
- Ame Lynn Golaszewski
- Justin Wesley Gregory
- Lori Anne Hildebrand
- Lehigh Family Chiropractic PC
- Angel Rebecca McConaughey
- Allison Nicole McElhaney
- Penny Lynnette Miles
- Robert A Montgomery
All providers in Belleville, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.