Individual provider Active NPI

Laura W Koenig, PT, DPT

  • Physical Therapist
  • Princeton, NJ
National Provider Identifier
1992298418
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01791700 Issued in NJ
Practice address
301 N Harrison St Unit 200
Princeton, NJ 08540-3527
Phone
(609) 423-2069
NPI assigned
Jun 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01791700 NJ Primary

Addresses

Primary practice location

301 N Harrison St Unit 200
Princeton, NJ 08540-3527

Mailing address

3562 Route NJ 27
Suite 124
Kendall Park, NJ 08824
Phone (732) 853-8177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711000480 NJ Practitioner - Physical Therapist in Private Practice 4082960752 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverwalk Physical Therapy, LLCGroup PAC ID 1557545308, 9 clinicians
Riverwalk Physical Therapy Bernardsville LLCGroup PAC ID 4587012182, 5 clinicians

Practice addresses (Care Compare)

25 Mountainview Blvd
Suite 207
Basking Ridge, NJ 07920-3453
Phone (908) 758-1006

4 Essex Ave
Suite 104
Bernardsville, NJ 07924-2265
Phone (917) 757-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Riverwalk Physical Therapy, LLC Physical Therapist CurrentSince Dec 7, 2024 Accepting new patients
Innovative Physical Therapy and Fitness Center Inc Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Riverwalk Physical Therapy Bernardsville LLC Physical Therapist CurrentSince Dec 7, 2024 Accepting new patients

Locations

25 Mountainview Blvd
Ste 207
Basking Ridge, NJ 07920
Phone (908) 758-1006

4 Essex Ave
Ste 104
Bernardsville, NJ 07924
Phone (917) 757-9772

3562 State Route 27
Ste 124
Kendall Park, NJ 08824
Phone (732) 317-4105

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1992298418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 ROUTE NJ 27",
            "address_2": "SUITE 124",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-853-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST UNIT 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403527",
            "telephone_number": "609-423-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "LAURA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01791700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.