Benjamin Koke, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007768 Issued in KY

Practice address

12418 La Grange Rd Ste 115
Louisville, KY 40245-2905

Phone

(502) 890-6009

Fax

(502) 890-6001

NPI assigned

Aug 20, 2019

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

Medicare fee-for-service enrollment

Enrolled in KY, TN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Physical Therapy IncGroup PAC ID 6002881869, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Pinnacle Physical Therapy Inc

  • Physical Therapist
  • Louisville, KY
  • NPI 1770615916
  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Ky LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1043734221

  KY

  Medicare reassignment NPD
• Independent Physical Therapy, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  Medicare reassignment NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1366099947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-8930",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12418 LA GRANGE RD STE 115",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402452905",
            "telephone_number": "502-890-6009",
            "fax_number": "502-890-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1588 Leestown Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405112365",
            "country_code": "US",
            "telephone_number": "859-317-8086",
            "fax_number": "859-317-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKE",
        "first_name": "BENJAMIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kogan, M.D.
• Brian E. Kogon, MD
• Stephanie Ann Kohl, DNP, APRN, FNP-C
• Jessica Kohler
• Rachel Kohler, APRN
• Angela Martina Kokes, OTR-L
• Kimberley Ann Kolb
• Laura Kolb, OTR
• Sarah Kolb
• Beth Ann Kolenda, COTA

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.