Individual provider Active NPI

Stephen Joseph Koch, PT

  • Physical Therapist
  • Reading, PA
National Provider Identifier
1215939087
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006390L Issued in PA
Practice address
3909 Perkiomen Ave
Reading, PA 19606-2718
Phone
(610) 370-0070
Fax
(610) 370-0075
NPI assigned
Aug 11, 2005
Last updated
Aug 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006390L PA Primary

Addresses

Primary practice location

3909 Perkiomen Ave
Reading, PA 19606-2718

Mailing address

16 Shady Hollow LN
Shillington, PA 19607-3003
Phone (610) 775-5369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000610 PA Practitioner - Physical Therapist in Private Practice 3577759968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1925 W Turner St
Allentown, PA 18104-5513
Phone (610) 794-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006390LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Corporate and Community Based Services Inc CurrentSince Jan 9, 2025 Accepting new patients
Phoebe Corporate & Community Based Services CurrentSince Jan 9, 2025 Accepting new patients
Reading Berks Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

1925 W Turner St
Allentown, PA 18104
Phone (610) 794-5260

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1215939087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SHADY HOLLOW LN",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196073003",
            "telephone_number": "610-775-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062718",
            "telephone_number": "610-370-0070",
            "fax_number": "610-370-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006390L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.