Daniel Madison Lent Koop, MPT, CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4129 Issued in NM

Practice address

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100

Phone

(505) 994-7131

Fax

(505) 994-7155

NPI assigned

Jul 28, 2006

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1982618898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 RIO ANIMAS RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871444719",
            "telephone_number": "505-206-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BROADMOOR BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442100",
            "telephone_number": "505-994-7131",
            "fax_number": "505-994-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENT KOOP",
        "first_name": "DANIEL",
        "middle_name": "MADISON",
        "name_prefix": "Mr.",
        "credential": "MPT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4129",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "1061100674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "4129",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "650001175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steele Leftwich, PT
• Kelsey Carson Leibenhaut, DNP
• Breelynn Leik
• Annie Lenetsky, LCSW
• Steve A Lenores
• Kassandra Lente
• Philip J Leonardelli, MD
• Miranda Alice Letcher, PTA
• James Emil Letter, LISW, LCSW, BCD
• Barry Jay Levine, LISW

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.