Martha Joann Koehler, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

33.017589 Issued in OH

Practice address

807 30TH St NE
Canton, OH 44714-1404

Phone

(330) 491-0381

Fax

(330) 491-0388

NPI assigned

Jan 23, 2014

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

Practice roles

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.

• McBrearty Family & Sport Chiropractic,LLC

  • Sports Physician Chiropractor
  • Canton, OH
  • NPI 1437218492
  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1912320151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 30TH STREET",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44714",
            "telephone_number": "330-491-0381",
            "fax_number": "330-491-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 30TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141404",
            "telephone_number": "330-491-0381",
            "fax_number": "330-491-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "MARTHA",
        "middle_name": "JOANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "33.017589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Kobak, LPCC
• Stacie Renee Kobylanski, CRNA
• Linda Marie Koceski, R.PH.
• Kristen Kodish
• Chanakya Kodishala, MBBS
• Margaret A Koenig, RD, LD, CDE
• Richard Alan Kohut, LISW
• Dennis Bruce Kolarik, D.O.
• Louise Kolarik, M.D.
• Sarah Kolic

• Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.