Individual provider Active NPI

Kimberly Anne Koschineg, O.T.

  • Occupational Therapist
  • Langhorne, PA
National Provider Identifier
1700874203
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC008082 Issued in PA
Practice address
3 Corner Stone Drive
Suite 700
Langhorne, PA 19047
Phone
(215) 750-0501
Fax
(215) 340-1299
NPI assigned
Oct 10, 2005
Last updated
Jan 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC008082 PA Primary

Addresses

Primary practice location

3 Corner Stone Drive
Suite 700
Langhorne, PA 19047

Mailing address

3761 Blackburn CT
Chalfont, PA 18914-3631
Phone (215) 750-0501

Other identifiers 5

IdentifierTypeStateIssuer
7554721OtherAETNA - PPO
2727772000OtherIBC
1218373OtherAETNA - HMO
1747963OtherHIGHMARK BLUE SHIELD
203838157OtherUNITED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000560 PA Practitioner - Occupational Therapist in Private Practice 6800832536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 Corner Stone Dr
Suite 700
Langhorne, PA 19047-1320

3 Cornerstone Dr
Suite 700
Langhorne, PA 19047-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Lymphedema Therapy Services, LLC CurrentSince Mar 31, 2006 Accepting new patients
Ohana Medical Supply PastSince Apr 1, 2006 Accepting new patients
Guillermo J. Bernal M.D. P.C. PastSince Sep 18, 1990 Accepting new patients

Locations

3 Cornerstone Dr
Ste 700
Langhorne, PA 19047
Phone (215) 750-0501

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1700874203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 BLACKBURN CT",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143631",
            "telephone_number": "215-750-0501",
            "fax_number": "215-750-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORNER STONE DRIVE",
            "address_2": "SUITE 700",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-750-0501",
            "fax_number": "215-340-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHINEG",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC008082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - PPO",
            "identifier": "7554721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2727772000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "1218373",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1747963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "203838157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.

Verify at the official NPI Registry.