Individual provider Active NPI

Ty Jacob Cohoon, D.C.

  • Chiropractor
  • Hutchinson, KS
National Provider Identifier
1609960673
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-04842 Issued in KS
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

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1951541945, 2 clinicians

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

LicenseStateTypeSpecialty
01-04842KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cohoon Kinesiology Chiropractic and Rehab LLC CurrentSince Jul 1, 2013 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.

Verify at the official NPI Registry.