Individual provider Active NPI

Deann Michelle Kokemohr, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1801171061
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 26852 Issued in FL
Practice address
9300 4TH St N
Suite a
St Petersburg, FL 33702-3134
Phone
(727) 365-6256
NPI assigned
Oct 19, 2011
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 26852 FL Primary

Addresses

Primary practice location

9300 4TH St N
Suite a
St Petersburg, FL 33702-3134

Mailing address

11405 59TH Way N
Pinellas Park, FL 33782-2119
Phone (727) 365-6256

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
PT 26852FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Motion Therapy Services Physical Therapist CurrentSince Jun 17, 2013 Accepting new patients

Locations

9300 4th St N
Ste A
St Petersburg, FL 33702
Phone (727) 365-6256

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1801171061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11405 59TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822119",
            "telephone_number": "727-365-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 4TH ST N",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023134",
            "telephone_number": "727-365-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKEMOHR",
        "first_name": "DEANN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 26852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.