Zachary Donald Koepke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12365-24 Issued in WI

Practice address

902 Riverside Dr
Physical Therapy
Waupaca, WI 54981-1992

Phone

(715) 258-1053

NPI assigned

Aug 26, 2013

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)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: zkoepke62148@direct.thedacare.org

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1255765350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 GOLF BRIDGE DR APT 10",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 RIVERSIDE DR",
            "address_2": "PHYSICAL THERAPY",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811992",
            "telephone_number": "715-258-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "ZACHARY",
        "middle_name": "DONALD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12365-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Klein, APNP
• Joy Kobiske, NP
• Koch Chiropractic and Wellness Center
• Gina M. Koch, D.C.
• Michael R. Koch, PT
• Jessica Kossel, M.S., CCC-SLP
• Kimberly Marie Kraeger, LCSW
• Deborah Kraemer
• Cari Jo Kramer, AUD
• Joseph Kuchler, APNP

• Physical Therapist in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.