Active NPI
Brian Koeppen, DPT
- Physical Therapist
- Marion, IA
National Provider Identifier
1265724322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03788
- Practice address
- 2996 7TH Ave
Marion, IA 52302-3713 - Phone
- (319) 286-4346
- NPI assigned
- May 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000008305 | TN | |
| Physical Therapist | 225100000X | 03788 | IA | Primary |
| Physical Therapist | 225100000X | 6162 | OR | |
| Physical Therapist | 225100000X | PT3127 | AR |
Addresses
Primary practice location
2996 7TH Ave
Marion, IA 52302-3713
Mailing address
2996 7TH Ave
Marion, IA 52302-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6162 | OR | MD | Chiropractor |
| PT3127 | AR | MD | Physical Therapist |
| 03788 | IA | MD | Physical Therapist |
| PT0000008305 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports & Ortho Rehab | Past | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Ontario, OR
- NPI 1013276831
-
- Occupational Therapist
- Ontario, OR
- NPI 1013181437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1265724322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2996 7TH AVE",
"city": "MARION",
"state": "IA",
"postal_code": "523023713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2996 7TH AVE",
"city": "MARION",
"state": "IA",
"postal_code": "523023713",
"telephone_number": "319-286-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPPEN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT0000008305",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03788",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6162",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.