Koh Physical Therapy, Inc. is a medicare enrolled "Clinic/center - Physical Therapy" provider in Irvine, California. Their current practice location is
9080 Irvine Center Dr, Irvine, California. You can reach out to their office (for appointments etc.) via phone at
(949) 540-5641.
Koh Physical Therapy, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Koh Physical Therapy, Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1144389701.
Healthcare Provider's Profile
| Full Name | Koh Physical Therapy, Inc. |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 9080 Irvine Center Dr, Irvine, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144389701
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517066178
- Enrollment ID: O20070621000554
Medical Identifiers
Medical identifiers for Koh Physical Therapy, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144389701 | NPI | - | NPPES |
| P00197420 | Other | CA | RAILROAD MEDICARE |
| PT0213060 | Medicaid | CA | |
| ZZZ69559Z | Other | CA | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT21306 (California) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Koh Physical Therapy, Inc. acts as a billing entity for following providers:
| Provider Name | Davis Y Koh |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1003840562
PECOS PAC ID: 7315046976
Enrollment ID: I20070621000573 |
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| Provider Name | Shiva Aslanpoor |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1518542992
PECOS PAC ID: 9133522402
Enrollment ID: I20210723001593 |
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| Provider Name | Tyler Nicholas Lee |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1649944000
PECOS PAC ID: 9638576150
Enrollment ID: I20210927002390 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Koh Physical Therapy, Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Koh Physical Therapy, Inc.
9080 Irvine Center Dr,
Irvine, CA 92618-4658
Ph: (949) 540-5641 | Koh Physical Therapy, Inc.
9080 Irvine Center Dr,
Irvine, CA 92618-4658
Ph: (949) 540-5641 |
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