Rodd Koch Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

019307-1 Issued in NY

Legal business name

RODD KOCH PHYSICAL THERAPY PC

Practice address

32 Francis Dr
Wynantskill, NY 12198-8781

Phone

(518) 286-9021

NPI assigned

Mar 27, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodd KochNPI 1134423924

Title

Physical Therapist/ President

Phone

(518) 286-9021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodd Koch, P.T.

  • Physical Therapist
  • Wynantskill, NY
  • NPI 1134423924
  Medicare reassignment NPD Authorized official
• Eileen Sanderson, OTR

  • Occupational Therapist
  • Mellenville, NY
  • NPI 1538442801
  NPD (past)

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1467751636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FRANCIS DR",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121988781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 FRANCIS DR",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121988781",
            "telephone_number": "518-286-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODD KOCH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "RODD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ PRESIDENT",
        "authorized_official_telephone_number": "518-286-9021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "019307-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Pratt
• Dacia Ellen Proper, DPT
• Maura Psoinos
• Questar III
• Kimberly Russell Rivera, MSW
• Alexa Jordyn Ruchel, MSW INTERN
• Natalie Ruggiero
• Megan Rumenapp
• Jennifer Beth Sampson, LCSW
• Danielle Schultz, LMSW

• Physical Therapy Clinic/Center in Wynantskill, NY
• Providers in Wynantskill, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.