Active NPI
Diane Koch, PT
- Orthopedic Physical Therapist
- Newport Beach, CA
National Provider Identifier
1245256148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT9997
- Practice address
- 351 Hospital Rd
Suite 606
Newport Beach, CA 92663-3509 - Phone
- (949) 650-3870
- Fax
- (949) 650-2544
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT9997 | CA | Primary |
Addresses
Primary practice location
351 Hospital Rd
Suite 606
Newport Beach, CA 92663-3509
Mailing address
351 Hospital Rd
Suite 606
Newport Beach, CA 92663-3509
Phone (949) 650-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000027 | CA | Practitioner - Physical Therapist in Private Practice | 5193982262 | Practice locations: Newport Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
351 Hospital Rd
Suite 606
Newport Beach, CA 92663-3508
Phone (949) 650-3870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9997 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane Koch RPT Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Newport Beach, CA
- NPI 1245405703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245256148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 HOSPITAL RD",
"address_2": "SUITE 606",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633509",
"telephone_number": "949-650-3870",
"fax_number": "949-650-2544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 HOSPITAL RD",
"address_2": "SUITE 606",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633509",
"telephone_number": "949-650-3870",
"fax_number": "949-650-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT9997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- 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.
- 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.