Nicholas Mark Koehler, | |
3925 Downs Dr, Chantilly, VA 20151-3308 | |
(877) 407-3422 | |
(877) 407-4329 |
Full Name | Nicholas Mark Koehler |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 3925 Downs Dr, Chantilly, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962924845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 021605 (New York) | Primary |
Provider Name | Fox Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20090811000339 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Mark Koehler, 1000 Elmwood Ave Ste 400, Rochester, NY 14620-3042 Ph: (585) 271-0680 | Nicholas Mark Koehler, 3925 Downs Dr, Chantilly, VA 20151-3308 Ph: (877) 407-3422 |
Rebecca Alanko, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14901 Bogle Dr Ste 100, Chantilly, VA 20151 Phone: 571-346-3781 | |
Chloe Anne Neidig, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Downs Dr, Chantilly, VA 20151 Phone: 877-407-3422 Fax: 877-407-4329 | |
Revive Rehab Plus Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 25017 White Sands Dr, Chantilly, VA 20152 Phone: 619-203-9674 | |
Brooke Elizabeth Kazmierczak, OTD OTL/R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14901 Bogle Dr Ste 100, Chantilly, VA 20151 Phone: 571-346-3781 | |
Julia Passuth, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14901 Bogle Dr Ste 100, Chantilly, VA 20151 Phone: 571-346-3781 | |
Michaela Leatherwood, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3925 Downs Dr, Chantilly, VA 20151 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ms. Aparna Dattatraya Badkas, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 42777 Center St, Chantilly, VA 20152 Phone: 703-542-6537 |