KRISTINE NICOLE KOCH (NPI# 1720556384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720556384 |
| Entity Type | Individual |
| Full Name | KRISTINE NICOLE KOCH |
| Credential | DPT |
| Practice Address |
261 Mack Ave Detroit MI 48201-2495 |
| Mailing Address |
47546 Viola Ln Chesterfield MI 48047-2407 |
| Practice Telephone | 3137451055 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
5501018686 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295094258 | Kristine L Koch | Behavioral Analyst | 5860 Golden Gate Pkwy, Naples, FL 34116-7459 | 2012-05-11 |
| Street Address |
261 MACK AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038904 | Scott Richard Millis | Clinical Neuropsychologist | 261 Mack Ave, Rehabilitation Institute of Michigan, Rm 552, Detroit, MI 48201-2417 | 2005-07-26 |
| 1639781057 | Jared Thomas Kurdunowicz | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-4820 | 2020-08-18 |
| 1497373211 | Rachel Smith | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2020-07-08 |
| 1083252340 | Abbey Rae Stuhldreher | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-12-18 |
| 1316593452 | Stephanie Hollander | Specialist/Technologist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-08-14 |
| 1801354147 | Jordan Malik Lawal | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-03-06 |
| 1164980553 | Kelsey Ann Vanamberg | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-03-05 |
| 1720545262 | Mahtab Koochaki | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2019-02-20 |
| 1760954564 | Courtney Meram | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-12-19 |
| 1710457999 | Joyal Dee Pavey | Occupational Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619471968 | Andrew Moul | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2417 | 2018-03-21 |
| 1083115687 | Melissa Tye | Physical Therapist | 22101 Moross Rd, Detroit, MI 48236-2148 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562984 | Epic Management, LLC | Physical Therapist | 25865 W 12 Mile Rd Ste 101, Southfield, MI 48034-1817 | 2019-05-06 |
| 1871095273 | Mathew Alan Hoard | Physical Therapist | 3360 Hospital Rd, Saginaw, MI 48603-9622 | 2018-03-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1891297396 | Sean Patrick Murphy | Physical Therapist | 235 Wealthy St., Grand Rapids, MI 49503 | 2018-03-01 |
| 1497256531 | Natalie Brown | Physical Therapist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-23 |
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1487211025 | Samuel Vanderwoude | Physical Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-05-20 |
| 1386135093 | Laura Ann Poirier | Physical Therapist | 27450 Schoenherr Rd, Warren, MI 48088-6683 | 2018-05-29 |
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| 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.