Individual provider Active NPI

Allison Koenig, PT, DPT

  • Physical Therapist
  • Mesquite, TX
National Provider Identifier
1346750379
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5314 Issued in HI
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

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
23315MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Physical Therapy LLC Physical Therapist Current Accepting new patients
Venture Physical Therapy LLC Physical Therapist CurrentSince Jan 24, 2022 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Sep 22, 2017 Accepting new patients
Marathon Physical Therapy and Sports Medicine, LLC Physical Therapist PastSince Sep 22, 2017 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.

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.

Verify at the official NPI Registry.