Mr Rodd Koch, PT | |
32 Francis Dr, Wynantskill, NY 12198-8781 | |
(518) 286-9021 | |
Not Available |
Full Name | Mr Rodd Koch |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 32 Francis Dr, Wynantskill, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134423924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 019307-1 (New York) | Primary |
Provider Name | Rodd Koch Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1467751636 PECOS PAC ID: 0547448425 Enrollment ID: O20110623000342 |
Mailing Address | Practice Location Address |
---|---|
Mr Rodd Koch, PT 32 Francis Dr, Wynantskill, NY 12198-8781 Ph: (518) 286-9021 | Mr Rodd Koch, PT 32 Francis Dr, Wynantskill, NY 12198-8781 Ph: (518) 286-9021 |
Jillian Picarillo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 86 Main Ave, Wynantskill, NY 12198 Phone: 518-326-0702 Fax: 518-326-0706 | |
Cierra Casale, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86 Main Ave, Wynantskill, NY 12198 Phone: 518-326-0702 | |
Maureen O'brien, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Ridgewood Dr, Wynantskill, NY 12198 Phone: 518-674-1744 |