Gary M Koeppe, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003601 Issued in MO

Practice address

1610 E. Sunshine Street
Springfield, MO 65804

Phone

(417) 523-7500

Fax

(417) 523-7595

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1679648935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E. SUNSHINE STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E. SUNSHINE STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-523-7500",
            "fax_number": "417-523-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPPE",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Kochevar, M.D.
• Mariya Kochubey, MD
• Rebecca Lynn Koehler, MA, SLP
• Christopher Douglas Koehn, M.D.
• Kelly Koehn, MD
• Koerbles Pharmacy Inc
• Giselle Damien Kohler, M.D.
• Melissa Jo Kokoszka, M.D.
• Brielle Kolb
• Jeremy A Kolb, AA

• Occupational Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.