Active NPI
Derek Lewis Kocher, PT, DPT
- Physical Therapist
- McMechen, WV
National Provider Identifier
1962706705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2802
- Practice address
- 1001 W Baltimore St
McMechen, WV 26040-1503 - Phone
- (304) 242-4004
- NPI assigned
- Jan 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2802 | WV | Primary |
Addresses
Primary practice location
1001 W Baltimore St
McMechen, WV 26040-1503
Mailing address
3 Sherwood Ave
Wheeling, WV 26003-5044
Phone (304) 771-8982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1962706705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SHERWOOD AVE",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035044",
"telephone_number": "304-771-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W BALTIMORE ST",
"city": "MCMECHEN",
"state": "WV",
"postal_code": "260401503",
"telephone_number": "304-242-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHER",
"first_name": "DEREK",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "2802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McMechen, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.