Stephen A Koger, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102814 Issued in TX

Practice address

1601 W Marshall Dr
Grand Prairie, TX 75051-2811

Phone

(972) 946-4400

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Onsite Industrial Therapy Systems, LLC

  • Physical Therapist
  • Grand Prairie, TX
  • NPI 1164556486
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184758534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CORPORATE DR W STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066813",
            "telephone_number": "817-695-6666",
            "fax_number": "817-695-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W MARSHALL DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750512811",
            "telephone_number": "972-946-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGER",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "102814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8T0662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica Marie Knox
• Harita Kodali, DMD
• Chelsea Mae Kohutek, DC
• Sowmya Kokku
• Omolayo Kolleade
• Titilope J Komolafe
• Konaniah Medical Equipment & Supplies LLC

• Occupational Therapist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Occupational Therapist in Texas

• 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.