Active NPI
Tina Marie McKinney, P.T.
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1902804941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 08119
- Practice address
- 6909 Good Samaritan Drive
Suite a
Cincinnati, OH 45247-5207 - Phone
- (513) 245-5434
- Fax
- (513) 245-5424
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- 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 Therapist | 225100000X | PT 08119 | OH | Primary |
Addresses
Primary practice location
6909 Good Samaritan Drive
Suite a
Cincinnati, OH 45247-5207
Mailing address
4701 Creek Rd
Suite 110
Cincinnati, OH 45242-8398
Phone (513) 733-9333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00287988 | Other | OH | MEDICARE RAILROAD |
| 000000340569 | Other | OH | ANTHEM |
| 2506881 | Medicaid | OH |
Other names 1
- Tina Marie Koch
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 08119 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Consultants of Cincinnati, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1396792529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1902804941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 CREEK RD",
"address_2": "SUITE 110",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452428398",
"telephone_number": "513-733-9333",
"fax_number": "513-588-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 GOOD SAMARITAN DRIVE",
"address_2": "SUITE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452475207",
"telephone_number": "513-245-5434",
"fax_number": "513-245-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 08119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00287988",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000340569",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2506881",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "KOCH",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.