Jena Koeck, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04313 Issued in KS

Practice address

1311 Wakarusa Dr
Suite 1000
Lawrence, KS 66049-4798

Phone

(785) 749-1300

Fax

(785) 749-4946

NPI assigned

Aug 8, 2011

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 names 1

• Jena Peterka Former name

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1982983045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "SUITE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR",
            "address_2": "SUITE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494798",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOECK",
        "first_name": "JENA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "PETERKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosa Haydee Knowlton, LMSW
• Amy Knox
• Thea D Knox, RPH
• Irish Ellen Knutson
• Easter Kodero
• Natalie Marie Koederitz, MD
• Clara Koehn
• Amanda Koenigsman
• Brianne Koester, DDS
• Emily E Kofron, M.S.W.

• Physical Therapist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Physical Therapist in Kansas

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

Verify at the official NPI Registry.