Nicole Nichelle Koenigshof, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011693A Issued in IN

Practice address

624 W Lincoln Ave
Goshen, IN 46526-2416

Phone

(574) 931-2801

Fax

(574) 971-8569

NPI assigned

Nov 30, 2007

Sex

Female

Sole proprietor

Yes

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)

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.

• Indiana Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Bluffton, IN
  • NPI 1629110192

  Physical Therapist

  NPD (past)
• Indiana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Elkhart, IN
  • NPI 1427535749

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1760664783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155676",
            "telephone_number": "260-482-7800",
            "fax_number": "260-484-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W LINCOLN AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465262416",
            "telephone_number": "574-931-2801",
            "fax_number": "574-971-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGSHOF",
        "first_name": "NICOLE",
        "middle_name": "NICHELLE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011693A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kitch, NURSE PRACTITIONER
• Sara Ruth Klassen
• Ashley Kleiman, MSW
• Rachel Marie Knafel, NP
• Charlene Koenig, MA
• David Chester Koronkiewicz, D.O.
• Sarah T. Krabill, M.D.
• Stacy Krahn, CPNP
• Nicholas Kramer, M.D.
• Sherri A Kramp, R.D.

• Physical Therapist in Goshen, IN
• Providers in Goshen, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.