Individual provider Active NPI

Paul Kochoa, P.T., D.P.T.

  • Physical Therapist
  • Randolph, NJ
National Provider Identifier
1376608968
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QAO1402300 Issued in NJ
Practice address
1572 Sussex Tpke Unit D
Randolph, NJ 07869-1822
Phone
(347) 746-9423
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QAO1402300 NJ Primary

Addresses

Primary practice location

1572 Sussex Tpke Unit D
Randolph, NJ 07869-1822

Mailing address

300 Main St Ste 21
Madison, NJ 07940-2369
Phone (347) 746-9423

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://pteverywhere.com/PtE/s/par5

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000748 NJ Practitioner - Physical Therapist in Private Practice 6608034723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1572 Sussex Tpke
Unit D
Randolph, NJ 07869-1822
Phone (347) 746-9423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QAO1402300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Par 5 Physical Therapy Physical Therapist CurrentSince Nov 29, 2018 Accepting new patients
Metro Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Silverarc Apn Current Accepting new patients

Locations

1572 Sussex Tpke
Unit D
Randolph, NJ 07869
Phone (347) 746-9423

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1376608968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST STE 21",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402369",
            "telephone_number": "347-746-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 SUSSEX TPKE UNIT D",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691822",
            "telephone_number": "347-746-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHOA",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QAO1402300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pteverywhere.com/PtE/s/par5",
            "affiliation": "N",
            "endpointDescription": "EMR service",
            "address_1": "1572 Sussex Tpke Unit D",
            "city": "Randolph",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078691822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.