Active NPI
Kristen Lee Koza, DPT
- Physical Therapist
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29228
- Practice address
- 6710A Rockledge Dr # 120a
Bethesda, MD 20817-2843 - Phone
- (301) 207-9848
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- 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 | 29228 | MD | Primary |
Addresses
Primary practice location
6710A Rockledge Dr # 120a
Bethesda, MD 20817-2843
Mailing address
201 50TH Ave Apt 21J
Long Island City, NY 11101-5780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6710 A Rockledge Dr
Suite 120a
Bethesda, MD 20817-2843
Phone (301) 798-4838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29228 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab 2 Perform LLC | Physical Therapist | Current | Accepting new patients |
| Rehab 2 Perform LLC | Physical Therapist | Current | Accepting new patients |
Locations
6710A Rockledge Dr
Ste 120A
Bethesda, MD 20817
20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986
20310 Seneca Meadows Pkwy
#B
Germantown, MD 20876
Phone 3017984838 ext. 2
Organizations & group practices 2
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.
-
- Physical Therapist
- Columbia, MD
- NPI 1295618692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1619688090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 50TH AVE APT 21J",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111015780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710A ROCKLEDGE DR # 120A",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208172843",
"telephone_number": "301-207-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZA",
"first_name": "KRISTEN",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.