Individual provider Active NPI

Lesley Anne Koch, PT

  • Orthopedic Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1689646044
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT22736 Issued in CA
Practice address
7451 Warner Ave
Suite a
Huntington Beach, CA 92647-5494
Phone
(714) 596-0700
Fax
(714) 596-0774
NPI assigned
Feb 1, 2006
Last updated
Oct 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT22736 CA Primary

Addresses

Primary practice location

7451 Warner Ave
Suite a
Huntington Beach, CA 92647-5494

Mailing address

7451 Warner Ave
Suite a
Huntington Beach, CA 92647-5494
Phone (714) 596-0700

Other names 1

  • Mrs. Lesley Ann Wykes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22736CAMDOrthopedic Physical Therapist
22736CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical RX Physical Therapy, Inc. Orthopedic PastSince May 21, 2023 Accepting new patients
Ishcorp Enterprises Orthopedic PastSince May 31, 2005 Accepting new patients
Pro Care Physical Therapy Past Accepting new patients

Organizations & group practices 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1689646044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 WARNER AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475494",
            "telephone_number": "714-596-0700",
            "fax_number": "714-596-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 WARNER AVE",
            "address_2": "SUITE A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475494",
            "telephone_number": "714-596-0700",
            "fax_number": "714-596-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "LESLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "WYKES",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.