Nicole Ruth Kohler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5473 Issued in OK

Practice address

612 W 18TH St
Edmond, OK 73013-3631

Phone

(405) 330-3994

Fax

(405) 330-4231

NPI assigned

Jun 15, 2018

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

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Stillwater, OK
  • NPI 1205162716

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc.

  • Rehabilitation Clinic/Center
  • Jenks, OK
  • NPI 1013570357
  NPD

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1962996736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE STE 27",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392734",
            "telephone_number": "405-692-6333",
            "fax_number": "405-692-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 18TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133631",
            "telephone_number": "405-330-3994",
            "fax_number": "405-330-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "NICOLE",
        "middle_name": "RUTH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koenig Healthcare Edmond PLLC
• Koenig Physical Medicine PLLC
• Brant Thomas Koenig, D.C.
• Glenn Alan Koester, MD
• Megan N Koger
• Sabina Koirala
• Alyssa Koleski
• Gene M. Koop, D.D.S.
• Kori Zibell PLLC
• Kortney Rist-Gill PHD Bcba, LLC

• Physical Therapist in Edmond, OK
• Providers in Edmond, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.