Philip Kodangal

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

015484-01 Issued in NY

Practice address

1 Civic Center PLZ Ste 107
Poughkeepsie, NY 12601-3158

Phone

(845) 483-7777

NPI assigned

Aug 26, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1902713720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COBBLESTONE LN",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405090",
            "telephone_number": "601-316-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER PLZ STE 107",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013158",
            "telephone_number": "845-483-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODANGAL",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "015484-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Koch, M.D.
• Walter Koch, MD
• Naseem K Kocher, MD
• Neil John Kocher, M.D.
• Kenneth Kochman, D.C.
• Sandra Joan Koenig, M.S.
• Brenda Karen Koepp, PT
• Sean Andrew Koerner
• Stuart Abraham Kofsky, D.D.S.
• Vincent D Koh, MD

• Physical Therapy Assistant in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.