Active NPI
Lola Koch, DPT
- Physical Therapist
- Kirkwood, MO
National Provider Identifier
1790284032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2018003447
- Practice address
- 333 S Kirkwood Rd
Kirkwood, MO 63122-6161 - Phone
- (314) 909-4848
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018003447 | MO | Primary |
Addresses
Primary practice location
333 S Kirkwood Rd
Kirkwood, MO 63122-6161
Mailing address
14515 N Outer 40 Rd Ste 170
Chesterfield, MO 63017-5798
Phone (314) 434-8680
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Girardeau PT LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Cape Girardeau, MO
- NPI 1528595881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1790284032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14515 N OUTER 40 RD STE 170",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175798",
"telephone_number": "314-434-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631226161",
"telephone_number": "314-909-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "LOLA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018003447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.