| Sydney Caitlin Koogle, OTD, OTR/L | |
|
264 Wilmington Ave, Dayton, OH 45420-1989 | |
| (937) 256-4663 | |
| Not Available |
| Full Name | Sydney Caitlin Koogle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 264 Wilmington Ave, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003405036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT010684 (Ohio) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093389751 PECOS PAC ID: 5193036432 Enrollment ID: O20210621000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Sydney Caitlin Koogle, OTD, OTR/L 264 Wilmington Ave, Dayton, OH 45420-1989 Ph: (937) 256-4663 | Sydney Caitlin Koogle, OTD, OTR/L 264 Wilmington Ave, Dayton, OH 45420-1989 Ph: (937) 256-4663 |
Debra Middleton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7466 Dayton Liberty Rd, Dayton, OH 45417 Phone: 513-791-5766 | |
Ms. Alisha M Holman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6125 N Main St, Dayton, OH 45415 Phone: 937-853-5234 | |
Mrs. Katie Rachelle Langenderfer, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Springfield St, Dayton, OH 45431 Phone: 937-236-9965 Fax: 937-233-0161 | |
Amber Nicole Byrd, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7677 Yankee St Ste 210, Dayton, OH 45459 Phone: 937-689-0603 | |
Stephanie Jae Buehler, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd, Suite 10, Dayton, OH 45414 Phone: 937-415-9100 Fax: 937-415-9191 | |
Andrea C Dexter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Springfield St, Dayton, OH 45431 Phone: 937-236-9965 Fax: 937-233-0161 |