Active NPI
Jordan Lee Kocher, PT, DPT, CSCS
- Physical Therapist
- Owensboro, KY
National Provider Identifier
1619406311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007341
- Practice address
- 412 E 2ND St
Owensboro, KY 42303 - Phone
- (270) 926-8145
- Fax
- (270) 926-8147
- NPI assigned
- Jun 6, 2017
- Last updated
- May 24, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007341 | KY | Primary |
Addresses
Primary practice location
412 E 2ND St
Owensboro, KY 42303
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 W Evergreen Ave
Suite 1a
Effingham, IL 62401-1634
Phone (217) 690-4882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, 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": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1619406311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E 2ND ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-926-8145",
"fax_number": "270-926-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHER",
"first_name": "JORDAN",
"middle_name": "LEE",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.