Marissa Ariel Kohrherr, ATC, LAT, ITAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

J3-0000686 Issued in DE

Practice address

213 Greenhill Ave
Wilmington, DE 19805-1844

Phone

(302) 658-7800

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1154881084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DELAWARE DR",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080791615",
            "telephone_number": "856-275-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GREENHILL AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051844",
            "telephone_number": "302-658-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHRHERR",
        "first_name": "MARISSA",
        "middle_name": "ARIEL",
        "credential": "ATC, LAT, ITAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00243300",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006923",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000028269",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying Liu Ko, ACUPUNCTURIST
• Marianna Sophia Koerner, PHARMD
• Jay Stuart Kogon, PT
• David Alan Kohl, FNP
• Rebecca Lynn Kohl, BCBA
• Kokoro Medical Services
• E Anders Kolb, MD
• Andrea Kolodgie, DPT
• Stefan Kolodij
• Koniver Fiss Mansoory MD PA (Papastavros Associates Medical Imaging LLC)

• Athletic Trainer in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Athletic Trainer in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.