Individual provider Active NPI

Lauren Elizabeth Koch, D.P.T.

  • Physical Therapist
  • West Linn, OR
National Provider Identifier
1376941427
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60870 Issued in OR
Practice address
2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Phone
(503) 387-5449
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 60870 OR Primary

Addresses

Primary practice location

2020 8TH Ave
Suite D
West Linn, OR 97068-4657

Mailing address

2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Phone (503) 387-5449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516001635 NJ Practitioner - Physical Therapist in Private Practice 4981929239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwalk Physical Therapy, LLCGroup PAC ID 1557545308, 9 clinicians

Practice addresses (Care Compare)

25 Mountainview Blvd
Suite 207
Basking Ridge, NJ 07920-3453
Phone (908) 758-1006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60870ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Physical Therapy, LLC Physical Therapist CurrentSince Oct 31, 2022 Accepting new patients
Riverwalk Physical Therapy Bernardsville LLC Physical Therapist CurrentSince May 30, 2025 Accepting new patients

Locations

25 Mountainview Blvd
Ste 207
Basking Ridge, NJ 07920
Phone (908) 758-1006

4 Essex Ave
Ste 104
Bernardsville, NJ 07924
Phone (917) 757-9772

Organizations & group practices 2

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": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1376941427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE",
            "address_2": "SUITE D",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-387-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE",
            "address_2": "SUITE D",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "503-387-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.