Elisa Ann Koch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1648 Issued in AZ

Practice address

6677 W Thunderbird Rd
Building C Suite 142
Glendale, AZ 85306-3709

Phone

(480) 222-0655

Fax

(480) 222-1457

NPI assigned

May 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

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

• Ati Holdings of Arizona, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  NPD (past)
• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)
• Spooner Physical Therapy & Hand Rehab, PC

  dba Spooner Rehab - Goodyear

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1437370525
  NPD (past)
• Spooner Rehab, PC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1225472533
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952354904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 N GREENWAY HAYDEN LOOP",
            "address_2": "C16",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601611",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD",
            "address_2": "BUILDING C SUITE 142",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063709",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ELISA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn S Knudsen, PHARM.D.
• Sharon Knudson, LAC
• Thomas John Knutson, MD
• Kristina Koan, RN
• Ashley Renee Kobold
• Lakshmi Vilasitha Kocherlakota, MD
• Cyenthia Louise Koehler, MD
• Suraya Kohgadai
• Gena Kohner, LPC, MPC
• Andrew Kokanoutranon, DMD

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.