Philip J Koch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006167 Issued in NY

Practice address

99 Tulip Ave
Suite 407
Floral Park, NY 11001-1974

Phone

(516) 358-9146

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Long Island Pediatric Physical Therapy, PC

  • Physical Therapist
  • Floral Park, NY
  • NPI 1245379759
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154460665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STONYWOOD DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255111",
            "telephone_number": "631-543-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 407",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "516-358-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "006167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidsabilitation Inc.
• Nakbog Kim
• Jennifer Ann Kisarewski
• Colleen Kiss
• KML Physical Therapy PC
• Matthew Koltun, DPT
• Rhonda Kontner, M.S.
• Christina Koziol
• Shayna Kravets
• Beth Krieger, PSY.D

• Physical Therapist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.