Individual provider Active NPI

Kathleen G Pokupec, PT

  • Physical Therapist
  • West Chester, OH
National Provider Identifier
1588283733
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-8061 Issued in OH
Practice address
8458 Highridge Dr
West Chester, OH 45069-6506
Phone
(513) 302-2185
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-8061 OH Primary

Addresses

Primary practice location

8458 Highridge Dr
West Chester, OH 45069-6506

Mailing address

8458 Highridge Dr
West Chester, OH 45069-6506
Phone (513) 302-2185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518001020 OH Practitioner - Physical Therapist in Private Practice 1658702139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patriot Outpatient Therapy, LLCGroup PAC ID 7315461795, 16 clinicians

Practice addresses (Care Compare)

5535 Irwin Simpson Rd
Mason, OH 45040-8107
Phone (330) 919-9575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-8061OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Jul 23, 2023 Accepting new patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Jul 23, 2023 Accepting new patients
Patriot Outpatient Therapy, LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

986 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 306-9651

986 Tibbetts Wick Rd
Bldg 2
Girard, OH 44420
Phone (330) 919-9575

7750 Paragon Rd
Washington Township, OH 45459
Phone (937) 291-3780

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1588283733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8458 HIGHRIDGE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696506",
            "telephone_number": "513-302-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8458 HIGHRIDGE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696506",
            "telephone_number": "513-302-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKUPEC",
        "first_name": "KATHLEEN",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-8061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.