Active NPI
Caroline Ko, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1518509660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24345
- Practice address
- 915 Commonwealth Ave Rear
Boston, MA 02215-1394 - Phone
- (617) 358-3700
- Fax
- (617) 358-3710
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- 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 Therapist | 225100000X | 24345 | MA | Primary |
Addresses
Primary practice location
915 Commonwealth Ave Rear
Boston, MA 02215-1394
Mailing address
1 Washington St Ste 4106
Dover, NH 03820-2243
Phone (603) 605-6116
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 |
|---|---|---|---|
| 24345 | MA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1518509660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST STE 4106",
"city": "DOVER",
"state": "NH",
"postal_code": "038202243",
"telephone_number": "603-605-6116",
"fax_number": "603-343-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 COMMONWEALTH AVE REAR",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151394",
"telephone_number": "617-358-3700",
"fax_number": "617-358-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "CAROLINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.