Active NPI
Kayla Koren
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1275210858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33073
- Practice address
- 15905 S 46TH St Ste 140
Phoenix, AZ 85048-2206 - Phone
- (480) 805-8304
- Fax
- (480) 805-8304
- NPI assigned
- Jul 5, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-33073 | AZ | Primary |
Addresses
Primary practice location
15905 S 46TH St Ste 140
Phoenix, AZ 85048-2206
Mailing address
PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134
Other practice location 1
1027 Bellevue Ave Ste 15
Richmond Heights, MO 63117-1851
Phone (314) 768-5375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-33073 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waits Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| The Pelvic Docs, LLC | Physical Therapist | Current | Accepting new patients |
| Harvest Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621
225 E Germann Rd
Ste 250
Gilbert, AZ 85297
15905 S 46th St
Ste 140
Phoenix, AZ 85048
Phone (480) 805-8304
Organizations & group practices 3
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 Therapist
- Casa Grande, AZ
- NPI 1295959674
-
- Physical Therapist
- Phoenix, AZ
- NPI 1619683240
-
- Physical Therapist
- Phoenix, AZ
- NPI 1669157525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1275210858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5718",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599035718",
"telephone_number": "406-756-0134",
"fax_number": "406-300-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15905 S 46TH ST STE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850482206",
"telephone_number": "480-805-8304",
"fax_number": "480-805-8304"
}
],
"practiceLocations": [
{
"address_1": "1027 Bellevue Ave Ste 15",
"address_purpose": "LOCATION",
"city": "Richmond Heights",
"state": "MO",
"postal_code": "631171851",
"country_code": "US",
"telephone_number": "314-768-5375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOREN",
"first_name": "KAYLA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-33073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.