Parsa Koochak Kosari, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1360245 Issued in TX

Practice address

12617 Ridgeline Blvd BLDG C105
Cedar Park, TX 78613-1606

Phone

(512) 996-0441

NPI assigned

May 16, 2022

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1912644592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 ELLSWORTH WALK",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787244525",
            "telephone_number": "512-740-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 RIDGELINE BLVD BLDG C105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131606",
            "telephone_number": "512-996-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Ellsworth Walk",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787244525",
            "country_code": "US",
            "telephone_number": "512-740-8191",
            "fax_number": "737-249-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOCHAK KOSARI",
        "first_name": "PARSA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Kolbek
• Jason Koneman
• Lisa Anne Konen, M.A., LMFT
• Konopka Chiropractic, PLLC (Central Texas Chiropractic and Rehabilitation)
• Thomas Joseph Konopka, D.C.
• Thanu Kovoor, CRNA
• Ian Koziatek
• Kelley Lee Kramer, LPC, LPCC
• Kristy L Clinton DC PA
• Agueda Kroll

• Physical Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.