Jill D. Koshak-Johnson, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

QA01313600 Issued in NJ

Practice address

1919 Greentree Road
Suite B
Cherry Hill, NJ 08003

Phone

(856) 424-0993

Fax

(856) 424-0994

NPI assigned

Jun 1, 2007

Last updated

Nov 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jill D. Koshak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Physical Therapist

  NPD
• Frdocs LLC

  • Family Medicine Physician
  • Hamilton, NJ
  • NPI 1659979342
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1366644304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE ROAD",
            "address_2": "SUITE B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-424-0993",
            "fax_number": "856-424-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GREENTREE ROAD",
            "address_2": "SUITE B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-424-0993",
            "fax_number": "856-424-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHAK-JOHNSON",
        "first_name": "JILL",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014760",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "QA01313600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "KOSHAK",
            "middle_name": "D.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rita Koralja
• Marc Evan Korn, M.S.W., L.C.S.W.
• Carol L Kornmehl, M.D.
• Melinda Korte, MT-BC
• Todd Koser, PSY.D.
• Jeffrey Harris Kossow, M.D.
• Erika Louann Kostishak
• Angelika Kot
• Sharon Toomey Kotch, PSY.D.
• Anil G Kothari, MD

• Orthopedic Physical Therapist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.