Active NPI
Barbra Koczan, PT
- Physical Therapist
- Dundalk, MD
National Provider Identifier
1275696221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19276
- Practice address
- 1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114 - Phone
- (301) 581-8054
- Fax
- (301) 564-0284
- NPI assigned
- Dec 19, 2006
- 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 | 19276 | MD | Primary |
Addresses
Primary practice location
1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114
Mailing address
6410 Rockledge Dr
NRH Regional Rehab - Suite 600
Bethesda, MD 20817-1809
Phone (301) 581-8054
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 |
|---|---|---|---|
| 19276 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1275696221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR",
"address_2": "NRH REGIONAL REHAB - SUITE 600",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171809",
"telephone_number": "301-581-8054",
"fax_number": "301-564-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 MERRITT BLVD STE 7",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222114",
"telephone_number": "301-581-8054",
"fax_number": "301-564-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCZAN",
"first_name": "BARBRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.