Active NPI
Allison Koenig, PT, DPT
- Physical Therapist
- Mesquite, TX
National Provider Identifier
1346750379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-5314
- Practice address
- 2758 N Galloway Ave Ste 100
Mesquite, TX 75150-6381 - Phone
- (972) 681-1155
- NPI assigned
- Oct 4, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23315 | MA | |
| Physical Therapist | 225100000X | PT-5314 | HI | Primary |
| Physical Therapist | 225100000X | 1312038 | TX |
Addresses
Primary practice location
2758 N Galloway Ave Ste 100
Mesquite, TX 75150-6381
Mailing address
101 Kanani Rd
Kihei, HI 96753-6805
Phone (808) 633-4480
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23315 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Venture Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
Locations
425 Centre St
Newton, MA 02458
Phone (617) 244-1990
250 E Main St
Norton, MA 02766
Phone (508) 285-5533
99 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 352-5400
Organizations & group practices 4
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
- Norton, MA
- NPI 1225161193
-
- Physical Therapist
- Kihei, HI
- NPI 1093960171
-
- Physical Therapist
- Lanai City, HI
- NPI 1922589316
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1346750379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 KANANI RD",
"city": "KIHEI",
"state": "HI",
"postal_code": "967536805",
"telephone_number": "808-633-4480",
"fax_number": "866-465-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 N GALLOWAY AVE STE 100",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506381",
"telephone_number": "972-681-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "ALLISON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23315",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-5314",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1312038",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.