Active NPI
Kurt A Koehler, LPTA
- Physical Therapy Assistant
- Springfield, OH
National Provider Identifier
1902002728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4723
- Practice address
- 4100 Middle Urbana Rd.
Springfield, OH 45503 - Phone
- (937) 390-9913
- NPI assigned
- Jun 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 4723 | OH | Primary |
Addresses
Primary practice location
4100 Middle Urbana Rd.
Springfield, OH 45503
Mailing address
6690 Marjean Dr
Tipp City, OH 45371-2330
Phone (937) 667-7074
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4723 | OH | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902002728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6690 MARJEAN DR",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453712330",
"telephone_number": "937-667-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 MIDDLE URBANA RD.",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-390-9913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "KURT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "4723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.