Active NPI
Ty Jacob Cohoon, D.C.
- Chiropractor
- Hutchinson, KS
National Provider Identifier
1609960673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04842
- Practice address
- 3007 Garden Grove Pkwy
Hutchinson, KS 67502-3907 - Phone
- (620) 662-6160
- Fax
- (620) 662-2820
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04842 | KS | Primary |
Addresses
Primary practice location
3007 Garden Grove Pkwy
Hutchinson, KS 67502-3907
Mailing address
3007 Garden Grove Pkwy
Hutchinson, KS 67502-3907
Phone (620) 662-6160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040810000017 | KS | Practitioner - Chiropractic | 9032181102 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cohoon Kinesiology Chiropractic and Rehab LLC
Practice addresses (Care Compare)
3007 Garden Grove Pkwy
Hutchinson, KS 67502-3907
Phone (620) 662-6160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04842 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cohoon Kinesiology Chiropractic and Rehab LLC | Current | Accepting new patients |
Locations
3007 Garden Grove Pkwy
Hutchinson, KS 67502
Phone (620) 662-6160
Organizations & group practices 1
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1609960673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 GARDEN GROVE PKWY",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675023907",
"telephone_number": "620-662-6160",
"fax_number": "620-662-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 GARDEN GROVE PKWY",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675023907",
"telephone_number": "620-662-6160",
"fax_number": "620-662-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHOON",
"first_name": "TY",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.