Active NPI
John Constantine Kokos, DPT
- Physical Medicine & Rehabilitation Physician
- Mechanicsburg, PA
National Provider Identifier
1497314306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT027745
- Practice address
- 21 Waterford Dr Ste 202
Mechanicsburg, PA 17050-8268 - Phone
- (717) 620-7100
- Fax
- (717) 620-7102
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | PT027745 | PA | Primary |
Addresses
Primary practice location
21 Waterford Dr Ste 202
Mechanicsburg, PA 17050-8268
Mailing address
21 Waterford Dr Ste 202
Mechanicsburg, PA 17050-8268
Phone (717) 620-7100
Other practice location 1
4800 Linglestown Rd Ste 100
Harrisburg, PA 17112-9183
Phone (717) 678-6290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT027745 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Physical Therapy Linglestown LLC | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Harrisburg, PA
- NPI 1154834042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1497314306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WATERFORD DR STE 202",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170508268",
"telephone_number": "717-620-7100",
"fax_number": "717-620-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WATERFORD DR STE 202",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170508268",
"telephone_number": "717-620-7100",
"fax_number": "717-620-7102"
}
],
"practiceLocations": [
{
"address_1": "4800 Linglestown Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171129183",
"country_code": "US",
"telephone_number": "717-678-6290",
"fax_number": "717-678-6289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKOS",
"first_name": "JOHN",
"middle_name": "CONSTANTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "PT027745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.