Brandon A Koehler, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10453 Issued in OH

Practice address

3477 County Road 254
Arcadia, OH 44804-9757

Phone

(419) 306-2931

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Star PT Inc

  • Physical Therapist
  • Tiffin, OH
  • NPI 1811976228
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1548246796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 COUNTY ROAD 254",
            "city": "ARCADIA",
            "state": "OH",
            "postal_code": "448049757",
            "telephone_number": "419-306-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 COUNTY ROAD 254",
            "city": "ARCADIA",
            "state": "OH",
            "postal_code": "448049757",
            "telephone_number": "419-306-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "BRANDON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1442035",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arcadia Local School District
• Carol Ann Berning, R.N.
• Robin Lynn Brown, LIWS-S
• Charity Marie Emahiser
• Luwana J. Engler
• Jessica Louise Pasch, LCDCIII
• Shawn Kenneth Pasch, LCDCII

• Physical Therapist in Arcadia, OH
• Providers in Arcadia, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.