Kokkonen P M and R PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KOKKONEN P M AND R PC

Practice address

3372 E Jenalan
Post Falls, ID 83854-7787

Phone

(801) 473-2261

NPI assigned

Sep 19, 2018

Last updated

Apr 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Juhani Kokkonen, DO

Title

Owner

Phone

(801) 473-2261

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1619451275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 N HOWELL RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548201",
            "telephone_number": "801-473-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 E JENALAN",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547787",
            "telephone_number": "801-473-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKKONEN P M AND R PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "KOKKONEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JUHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-473-2261",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "O-1190",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Kneller
• Taryn Rae Knight, PA-C
• Julia J Koep, ARNP
• Orion Koffman, PHARMD
• Barbara Kogler, M.A., CCC-A
• Amanda Louise Kologi, RDN, CD, LD
• Kaitlyn Rose Koons
• Kootenai County (Post Falls School District 273)
• Kootenai Health, Inc. (Kootenai Health Pharmacy Post Falls)
• Kootenai Kids Pediatrics PLLC

• Physical Medicine & Rehabilitation Physician in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.