DAVID KOCH (NPI# 1265580476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 Name | Type Code |
---|---|
Orthopedic Rehab Specialists | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | DAVID KOCH FAMILY LIMITED PARTNERSHIP | 8061 Erie Road, Derby, Ny 14047 |
Street Address |
3621 59TH ST |
City | KENOSHA |
State | WI |
Zip Code | 53144-6921 |
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 |
Find all providers in zip 53144 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
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] |
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 |
Please comment or provide details below to improve the information on DAVID KOCH.
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.