David Koch

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

270-039 Issued in WI

Legal business name

DAVID KOCH

Doing business as

Orthopedic Rehab Specialists

Practice address

3621 59TH St
Kenosha, WI 53144-6921

Phone

(262) 620-1650

Fax

(262) 653-0835

NPI assigned

Jan 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David E Koch, A.T.C

Title

Owner

Phone

(262) 620-1650

Specialties & licenses 1

Addresses

Other names 1

• Orthopedic Rehab Specialists Doing business as

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

{
    "created_epoch": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265580476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 59TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531446921",
            "telephone_number": "262-620-1650",
            "fax_number": "262-653-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 59TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531446921",
            "telephone_number": "262-620-1650",
            "fax_number": "262-653-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KOCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-620-1650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.T.C"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "270-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Rehab Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ojiugo Esther Daniel, NP
• Demetra M Danos, OD
• Alexandria Colleen Dattilo, APNP
• David B. Jackson, M.D., S.C.
• David Klimisch LPC Inc
• David Savaglio Eyecare, LLC
• Christopher Michael David, LCSW
• Diana A David, MD
• Katherine Elaine David
• Abigail Marie Davidson

• Athletic Trainer in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.