DAVID KOCH


Address: 3621 59th St, Kenosha, WI 53144-6921
Phone: 2626201650

DAVID KOCH (NPI# 1265580476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265580476
Entity Type Organization
Organization Name DAVID KOCH
Other Organization Name ORTHOPEDIC REHAB SPECIALISTS
Practice Address 3621 59th St
Kenosha
WI 53144-6921
Practice Telephone 2626201650
Practice Fax Number 2626530835
Mailing Telephone 2626201650
Mailing Fax Number 2626530835
Enumeration Date 2007-01-07
Last Update Date 2020-08-22
Authorized Official Name MR. DAVID E KOCH (OWNER)
Authorized Official Telephone 2626201650
Authorized Official Credential A.T.C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
270-039 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Orthopedic Rehab Specialists Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations DAVID KOCH FAMILY LIMITED PARTNERSHIP 8061 Erie Road, Derby, Ny 14047

Office Location

Street Address 3621 59TH ST
City KENOSHA
State WI
Zip Code 53144-6921

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410202 Dpt Holdings LLC Occupational Therapist 3825 39th Ave #110, Kenosha, WI 53144 2020-09-03
1225641392 Eunice Boatin Social Worker Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 2020-08-28
1881250256 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 3621 Market Lane, Kenosha, WI 53144 2019-05-11
1124540067 Kaitlyn King Speech-Language Pathologist 5219 88th Ave., Kenosha, WI 53144 2017-07-12
1174992721 Claire Ann Adams Acupuncturist 5416 52nd Street, Kenosha, WI 53144 2015-09-24
1285017087 Jessica Lynn Gillengerten Acupuncturist 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 2015-06-30
1750704656 Amanda Kay Kreuzer Occupational Therapy Assistant 3109 30th Ave, Kenosha, WI 53144 2014-01-28
1841626785 B7 Pharmacy Inc Pharmacy 3825 39th Ave Ste 100, Kenosha, WI 53144 2013-09-24
1124326764 Wisconsin Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3710 57th Ave, Kenosha, WI 53144 2011-03-07
1982931291 Roman Bilak General Practice 4126 - 7th Street, Kemosha, WI 53144 2009-11-06
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972015758 Samantha Jane Atkielski Specialist/Technologist 6911 53rd St, Kenosha, WI 53144-3772 2017-11-01
1184088742 David James O'loughlin Specialist/Technologist 9436 69th St, Kenosha, WI 53142-8111 2016-04-11
1346637055 Becka Owens Specialist/Technologist 1465 Sheridan Rd, Apt 16, Kenosha, WI 53140-4444 2015-04-20
1871882944 Katie Lynn Bowers Specialist/Technologist 900 Wood Rd, Kenosha, WI 53144-1199 2011-03-29
1487973095 Kevan M Creighton Specialist/Technologist 7201 120th Ave, Kenosha, WI 53142-7305 2010-05-21
1639202971 Joseph J Olszewski Specialist/Technologist 4506 79th St, Kenosha, WI 53142-4519 2007-03-14
1295723849 Laurie Anne Jensen Specialist/Technologist 2001 Alford Park Dr, Kenosha, WI 53140-1929 2005-10-07
1730796509 Zachary Tavs Specialist/Technologist 2001 Alford Park Dr, Kenosha, WI 53140-1927 2020-09-25
1376179101 Dan Ruffner Specialist/Technologist 2001 Alford Park Dr, Kenosha, WI 53140-1994 2020-03-12
1699309534 Hannah Lyn Midlock Specialist/Technologist 2001 Alford Park Dr, Kenosha, WI 53140-1994 2020-03-01
Find all providers in KENOSHA

Competitor

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City KENOSHA
Zip Code 53144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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