Irvin Kochel III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006074L Issued in PA

Practice address

4770 Lucerne Rd
Indiana, PA 15701-6002

Phone

(724) 840-5751

Fax

(724) 801-8183

NPI assigned

Jul 12, 2006

Last updated

Sep 8, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1205861762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 LUCERNE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157016002",
            "telephone_number": "724-840-5751",
            "fax_number": "724-801-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 LUCERNE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157016002",
            "telephone_number": "724-840-5751",
            "fax_number": "724-801-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHEL",
        "first_name": "IRVIN",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006074L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Indiana, PA
• Providers in Indiana, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.