Allyn Jordan Koger I, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15981 Issued in MD

Practice address

1120 St. Paul Street
Baltimore, MD 21202-2685

Phone

(410) 685-7790

Fax

(410) 685-7851

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

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 MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salus Capital IncGroup PAC ID 6103131198, 25 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salus Capital Inc

  dba Eagle Physical Therapy and Rehabilitation

  • Physical Therapist
  • Baltimore, MD
  • NPI 1568859478

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1366705519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ST. PAUL STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022685",
            "telephone_number": "410-685-7790",
            "fax_number": "410-685-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ST. PAUL STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022685",
            "telephone_number": "410-685-7790",
            "fax_number": "410-685-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGER",
        "first_name": "ALLYN",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Beth Koerner, LCSW-C
• Michael Koerner
• Miranda M Garay Kofeldt, PHD
• Kofi Shaw-Taylor MD PA Westside Medical Group
• Grace Kofie
• Anthony J Koger
• Julia Renee Koger, PA-C
• Mary Elizabeth Kogler-Gladu, PTA
• Marianna Kogut, DPT
• Eugene Koh, MD

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.