Jennifer Lynn Koski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502000358 Issued in MI

Practice address

1400 Poplar St
Hancock, MI 49930-1121

Phone

(906) 482-6644

NPI assigned

Jan 21, 2012

Last updated

Jan 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer Lynn Verran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1578834628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19371 COPPER RIDGE RD",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499319272",
            "telephone_number": "906-231-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 POPLAR ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301121",
            "telephone_number": "906-482-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VERRAN",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Kilpela, MS CCC-SLP
• Terry Kinzel, MD
• Kirk R Klemme, MD
• Janice Klemp, MD
• Senia Faye Kolpack
• Nathan Laakonen, PHARMD
• Kaarina Jane Laakso
• Tammy Jo Labeske, H.I.S.
• Elissa Johnson Labyak, PT
• Taylor Landers, CNM

• Physical Therapy Assistant in Hancock, MI
• Providers in Hancock, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.