Individual provider Active NPI

Kessa Lynn Bochek, PT, DPT

  • Physical Therapist
  • Ames, IA
National Provider Identifier
1922522531
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
087493 Issued in IA
Practice address
1325 Coconino Rd
Ames, IA 50014-7846
Phone
(515) 292-2858
NPI assigned
Jul 26, 2017
Last updated
Oct 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 087493 IA Primary

Addresses

Primary practice location

1325 Coconino Rd
Ames, IA 50014-7846

Mailing address

402 NE Grant St
Ankeny, IA 50021-1812
Phone (402) 821-7613

Other practice location 1

2306 State St
Guthrie Center, IA 50115-8896
Phone (641) 332-2204

Other practice location 2

1315 Coconino Rd
Ames, IA 50014-8035
Phone (402) 821-7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529002391 IA Practitioner - Physical Therapist in Private Practice 7810339363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab PT Ia PLLCGroup PAC ID 5193119733, 59 clinicians

Practice addresses (Care Compare)

2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087493IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT Ia PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1922522531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NE GRANT ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211812",
            "telephone_number": "402-821-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 COCONINO RD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147846",
            "telephone_number": "515-292-2858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 State St",
            "address_purpose": "LOCATION",
            "city": "Guthrie Center",
            "state": "IA",
            "postal_code": "501158896",
            "country_code": "US",
            "telephone_number": "641-332-2204",
            "fax_number": "641-332-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Coconino Rd",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500148035",
            "country_code": "US",
            "telephone_number": "402-821-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCHEK",
        "first_name": "KESSA",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "087493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.