Michael Joseph Koehle, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC013916 Issued in PA

Practice address

437 Givler Dr
Martinsburg, PA 16662-1635

Phone

(814) 793-3728

Fax

(814) 793-3654

NPI assigned

Nov 24, 2018

Last updated

Nov 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Homewood Living Martinsburg, Inc.

  • Skilled Nursing Facility
  • Martinsburg, PA
  • NPI 1457357683
  NPD (past)
• Wound Healing Solutions Pennsylvania and Delaware LLC

  • Nurse Practitioner
  • Barrington, NJ
  • NPI 1306272075
  NPD (past)

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543017600000",
    "number": "1760951420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103050",
            "telephone_number": "143-815-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 GIVLER DR",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621635",
            "telephone_number": "814-793-3728",
            "fax_number": "814-793-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-24",
        "last_updated": "2018-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08053",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OC013916",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Homewood Living Martinsburg, Inc.
• James Drug Store - Martinsburg Inc (James Drug Store - Martinsburg)
• Clark D Jeffries, GENERAL DENTIST
• Heather Nicole Kincaid, COTA/L
• Morgan Knisely, LPN
• Kopp Drug Inc
• Douglas C Kurtz, GENERAL DENTIST
• Douglas Christopher Kurtz, D.D.S.
• Lunda E. Weaver, MD (Martinsburg Family Practice)
• Janelle Marie Hoover Marino, RN

• Occupational Therapist in Martinsburg, PA
• Providers in Martinsburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; 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.