Active NPI
Ester Koegelenberg
- Physical Therapist
- Longview, TX
National Provider Identifier
1992195622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1143154
- Practice address
- 10194 Martin LN
Longview, TX 75605-4265 - Phone
- (903) 734-0622
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 1143154 | TX | Primary |
Addresses
Primary practice location
10194 Martin LN
Longview, TX 75605-4265
Mailing address
10194 Martin LN
Longview, TX 75605-4265
Phone (903) 734-0622
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1143154 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1992195622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10194 MARTIN LN",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756054265",
"telephone_number": "903-734-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10194 MARTIN LN",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756054265",
"telephone_number": "903-734-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEGELENBERG",
"first_name": "ESTER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1143154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.