Individual provider Active NPI

Lois Koering, MSPT, ATC

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1508933805
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01281100 Issued in NJ
Practice address
1051 W Sherman Ave
Vineland, NJ 08360-6931
Phone
(856) 696-5656
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 946 MA
Physical Therapist 225100000X 8021 MA
Physical Therapist 225100000X 40QA01281100 NJ Primary
Athletic Trainer 2255A2300X 25MT00145900 NJ

Addresses

Primary practice location

1051 W Sherman Ave
Vineland, NJ 08360-6931

Mailing address

870 Tuska Ave
Pittsgrove, NJ 08318-4262
Phone (508) 958-5833

Other names 1

  • Miss Lois Farrell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015003376 NJ Practitioner - Physical Therapist in Private Practice 0244561678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01281100NJMDPhysical Therapist
946MAMDAthletic Trainer
25MT00145900NJMDAthletic Trainer
8021MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT Inc. CurrentSince Dec 1, 2022 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

801 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-0505

733 Route 72 W
Unit 15E
Stafford Township, NJ 08050
Phone (267) 261-3730

Organizations & group practices 5

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1508933805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 TUSKA AVE",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184262",
            "telephone_number": "508-958-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-696-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERING",
        "first_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "MSPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "946",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "8021",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01281100",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00145900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOIS",
            "last_name": "FARRELL",
            "prefix": "MISS",
            "credential": "MSPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.