| 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 |
|---|---|
| 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: Medicare Enrolled Practice Location: 86 Main Ave, Wynantskill, NY 12198 Phone: 518-326-0702 | |
Stefano Gaetano Dato, 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: Not Enrolled in Medicare Practice Location: 15 Ridgewood Dr, Wynantskill, NY 12198 Phone: 518-674-1744 |