Lauryn M Koke, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022750 Issued in NY

Practice address

6144 Route 25a
BLDG C
Wading River, NY 11792-2018

Phone

(631) 929-3277

Fax

(632) 929-3304

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prohealth Care Associates, LLP

  • Physical Therapist
  • Carmel, NY
  • NPI 1508324898
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669497095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BUTTONWOOD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464805",
            "telephone_number": "631-905-2031",
            "fax_number": "631-543-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A",
            "address_2": "BLDG C",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922018",
            "telephone_number": "631-929-3277",
            "fax_number": "632-929-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKE",
        "first_name": "LAURYN",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "022750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Kazenoff, LCSW
• Meghan Kealey
• Loren Kenney, BSN, RN
• Carmella Kimberly Kistner
• Susan Knechtel, MA CCC-SLP
• Aaron William Krebo, RN
• L.C. Nurse Practitioner in Adult Health Services PLLC
• Bridget Laux, LMT
• Maxine Marie Lee, RN
• Juliet Jean Lehman, OTR

• Physical Therapist in Wading River, NY
• Providers in Wading River, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.