Steve K O, PT, L.AC., CWS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016630 Issued in PA

Practice address

1349 W Cheltenham Ave
Suite 201
Elkins Park, PA 19027-3141

Phone

(267) 408-9294

NPI assigned

Mar 21, 2007

Last updated

Apr 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reboot Integrative Wellness CenterGroup PAC ID 5395058853, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reboot Integrative Wellness Center

  • Physical Therapy Clinic/Center
  • Elkins Park, PA
  • NPI 1215324926

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• La Fortaleza Physical Therapy Inc

  dba La Fortaleza Occupational Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1609170679
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1265558373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "267-408-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W CHELTENHAM AVE",
            "address_2": "SUITE 201",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273141",
            "telephone_number": "267-408-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O",
        "first_name": "STEVE",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT, L.AC., CWS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000999",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey North, M.D.
• Northeast Home Care Specialists, Inc. (Senior Helpers)
• Northern Health Facilities, Inc. (Elkins Crest Health & Rehabilitation Center)
• Marnie Sue Nutkowitz, PSYD
• NV Capital Care PLLC
• Lauren O'Brien-Tomich, M.D.
• Polly Hill O'Keefe, MSS, LCSW
• Oak HRC Elkins Crest LLC (Elkins Crest Health and Rehabilitation Center)
• Oceanwide Home Care Inc
• Belinda Ockimey

• Physical Therapist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.