Active NPI
Lauren Elizabeth Koch, D.P.T.
- Physical Therapist
- West Linn, OR
National Provider Identifier
1376941427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60870 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverwalk Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Riverwalk Physical Therapy Bernardsville LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Basking Ridge, NJ
- NPI 1750681201
Physical Therapist
-
- Physical Therapist
- Bernardsville, NJ
- NPI 1538945472
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.