Cheryl Landry Kokkinis, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

108262 Issued in TX

Practice address

1101 Keller Pkwy
Keller, TX 76248-3614

Phone

(817) 562-3111

Fax

(817) 562-3114

NPI assigned

Feb 6, 2007

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

Other identifiers 1

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.

• Therapedia, LLC

  • Physical Therapy Clinic/Center
  • Keller, TX
  • NPI 1881813343
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385251200000",
    "number": "1962541979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-562-3111",
            "fax_number": "817-562-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-562-3111",
            "fax_number": "817-562-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKKINIS",
        "first_name": "CHERYL",
        "middle_name": "LANDRY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "108262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8T1922",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Lee Knife Chief
• Emily Knight, DPT
• Christopher Knowles, PHARMD
• Marie Macaraeg Kofnovec, COTA
• Sharon Kay Kohanyuk, LPC
• Sushma Komandur, RPH
• Kristin L. Kosanke, M.D.
• Tanner Kowaleski, LPC ASSOCIATE
• Nicole Marie Krawulski, D.C.
• Emily F Krenek, PT, DPT

• Specialist in Keller, TX
• Providers in Keller, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; 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.