Nathan David Koch, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2131 Issued in OK

Practice address

1601 Academy Rd
Ponca City, OK 74604-4409

Phone

(580) 760-0927

NPI assigned

Jun 14, 2013

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1891134680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 WOODTHRUSH RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042834",
            "telephone_number": "918-805-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ACADEMY RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044409",
            "telephone_number": "580-760-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kirk, LPC
• Scott Thomas Kirkpatrick Sr., DC
• Jenny Rae Kizziar, RSS
• Melissa Kizziar
• KLR Innovations LLC (Hearing Group)
• Jennifer Kohl, PTA
• Jessica Ann Kozarevich, LPC
• Stacy Lee Kraft, LCSW
• Sigrid Renee Krause, M.S.
• Ron M Kreger, M.D.

• Physical Therapy Assistant in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.