Sara Koss

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

1594 Issued in MN

Practice address

4190 Vinewood LN N Ste 107
Plymouth, MN 55442-1771

Phone

(651) 283-6011

NPI assigned

Feb 18, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1891440764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 77TH CIR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 VINEWOOD LN N STE 107",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421771",
            "telephone_number": "651-283-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MN",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Koller, MD
• Andrew James Konz, D.C.
• Elizabeth Ann Stier Koonst, M.S. SLP
• Michael Harold Koski, RPH
• Michael Koss
• Bobbi Lee Kostinec, M.D.
• Steven Koutroupas, MD
• Alyssa Victoria Kowalski, PHARMD
• Joan Carol Kracher
• Timothy Charles Krause, RPH

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.