Patricia Koski, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

02405 Issued in MD

Practice address

2225 Old Emmorton Rd Ste 210
Bel Air, MD 21015-6123

Phone

(410) 515-4900

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Maryland Therapy Network, Inc

  • Speech-Language Pathologist
  • Bel Air, MD
  • NPI 1770611394
  NPD (past)

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1326509258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 BOTTOM RD STE 210",
            "city": "HYDES",
            "state": "MD",
            "postal_code": "210829741",
            "telephone_number": "410-515-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 OLD EMMORTON RD STE 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156123",
            "telephone_number": "410-515-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "PATRICIA",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419800000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline V. Koluch, R.PH, MBA
• Keleigh Dawn Kongkraphun, LCPC
• Teri Joyce Kopczynski, ED.S. CCC-SLP
• Tara Kopp
• Wendi Korn, MS CCC-SLP
• Elaina Kossoy, LGPC
• Taylor Steven Kothe
• Terrilyn Michele Kotishion, RPH
• Kaitlyn Koutris
• Rachel Kozak, CCC-SLP

• Speech-Language Pathologist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.