Active NPI
Sandra Jean Koch
- Physical Therapist
- Sequim, WA
National Provider Identifier
1356617310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0863
- Practice address
- 1000 S 5TH Ave
Sequim, WA 98382-3944 - Phone
- (360) 582-3900
- NPI assigned
- Mar 23, 2012
- 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 | 0863 | NV | Primary |
Addresses
Primary practice location
1000 S 5TH Ave
Sequim, WA 98382-3944
Mailing address
PO Box 1901
Sequim, WA 98382-4333
Phone (775) 741-9169
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 |
|---|---|---|---|
| 0863 | NV | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1356617310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1901",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983824333",
"telephone_number": "775-741-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823944",
"telephone_number": "360-582-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "SANDRA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "0863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.