Luke W Kohley, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4204 Issued in OR

Practice address

38505 Brooten Rd Ste C
Pacific City, OR 97135

Phone

(503) 965-6400

Fax

(503) 965-9555

NPI assigned

Jan 5, 2006

Last updated

Jul 16, 2018By the provider in NPPES

Sex

Male

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

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1801257191
  Medicare reassignment NPD
• Benchmark Physical Therapy of Or, LLC

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427524388
  NPD
• Benchmark Physical Therapy of Oregon LLC

  • Physical Therapist
  • Portland, OR
  • NPI 1306356159
  NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1346228731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38505 BROOTEN RD STE C",
            "city": "PACIFIC CITY",
            "state": "OR",
            "postal_code": "97135",
            "telephone_number": "503-965-6400",
            "fax_number": "503-965-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLEY",
        "first_name": "LUKE",
        "middle_name": "W",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182881",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayshore Sleep Solutions, LLC
• Benchmark Physical Therapy of Oregon LLC
• Blue Wellness Studio, LLC
• Jason Elliott, PMHNP-C
• Karin Kallevig
• Julie Ann Krohn
• Heidi Marian Manning, LAC., LMT
• Northwest Medical Foundation of Tillamook (Adventist Health Bayshore Medical Pacific City)
• Janelle Stacy, PT
• Shelley Collins Stephens, LMT

• Physical Therapist in Pacific City, OR
• Providers in Pacific City, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.

Verify at the official NPI Registry.