Active NPI
Richard Bryant Kokinda, PT
- Physical Therapist
- Tamaqua, PA
National Provider Identifier
1497742845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005940L
- Practice address
- 219 Claremont Ave
Tamaqua, PA 18252-4431 - Phone
- (570) 668-1889
- Fax
- (570) 668-6115
- NPI assigned
- Sep 30, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005940L | PA | Primary |
| Geriatric Physical Therapist | 2251G0304X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Pediatric Physical Therapist | 2251P0200X |
Addresses
Primary practice location
219 Claremont Ave
Tamaqua, PA 18252-4431
Mailing address
219 Claremont Ave
Tamaqua, PA 18252-4431
Phone (570) 668-1889
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225864 | Other | HEALTH ASSURANCE | |
| 989050 | Other | KEYSTONE | |
| 27991000 | Other | INDEPENDENCE BLUE CROSS | |
| 814769 | Other | FIRST PRIORITY HEALTH | |
| 01863702 | Other | CAPITAL BLUE CROSS | |
| 65002322 | Other | RAILROAD MEDICARE | |
| 11228153 | Other | CAQH | |
| 2841916 | Other | AETNA HMO | |
| 481407 | Other | HIGHMARK BLUE SHIELD | |
| 7945348 | Other | AETNA PPO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1497742845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 CLAREMONT AVE",
"city": "TAMAQUA",
"state": "PA",
"postal_code": "182524431",
"telephone_number": "570-668-1889",
"fax_number": "570-668-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 CLAREMONT AVE",
"city": "TAMAQUA",
"state": "PA",
"postal_code": "182524431",
"telephone_number": "570-668-1889",
"fax_number": "570-668-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKINDA",
"first_name": "RICHARD",
"middle_name": "BRYANT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005940L",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "225864",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "989050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "27991000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "814769",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01863702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "65002322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11228153",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2841916",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "481407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7945348",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamaqua, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.