Organization
KOTH THERAPY & FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER R KOTH PT (PT)
(301) 884-0331
Entity
Organization
Contact information
Practice address
30387 THREE NOTCH ROAD, CHARLOTTE HALL, MD 20622-3183
(301) 884-0331
(301) 472-4388
Mailing address
PO BOX 398, CHARLOTTE HALL, MD 20622-0398
(301) 884-0331
(301) 472-4388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
458R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2938436
AETNA
MD
01
—
LN18KO
BCBS
MD
Enumeration date
03/01/2007
Last updated
08/01/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up