Matthew Koennecke, PT, DPT
Physical Therapist in Middletown, New York
1134760416- Practice location
- 419 E Main St Ste 110, Middletown, NY 10940-2552
- Phone
- 845-344-1899
- Fax
- —
- Last updated
- August 11, 2022
Matthew Koennecke is a Physical Therapist based in Middletown, NY. Matthew Koennecke practices in Middletown, NY and has the professional credentials of PT, DPT. The NPI Number for Matthew Koennecke is 1134760416 and holds a License No. TE012300 (PA). The current practice location address for Matthew Koennecke is 419 E Main St Ste 110, Middletown, NY 10940-2552 and can be reached out via phone at 845-344-1899.
Provider Profile Details
- NPI Number
- 1134760416
- Provider Name
- Matthew Koennecke
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 419 E Main St Ste 110, Middletown, NY 10940-2552
- Phone Number
- 845-344-1899
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 8, 2019
- Last Update Date
- August 11, 2022
- Certification Date
- August 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 419 E Main St Ste 110
Middletown, NY 10940-2552 - City
- Middletown
- State
- New York
- Zip
- 10940-2552
- Phone Number
- 845-344-1899
Provider Business Mailing Address Details
- Address
- 419 E Main St Ste 110
Middletown, NY 10940-2552 - City
- Middletown
- State
- NY
- Zip
- 10940-2552
- Phone Number
- 845-344-1899
License Information
- License Number (1)
- TE012300
- License State (1)
- PA
- Taxonomy (1)
- Physical Therapy Assistant · 225200000X
- License Number (2)
- 048948
- License State (2)
- NY
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Matthew Koennecke, PT, DPT?
The NPI number of Matthew Koennecke, PT, DPT is 1134760416. It was assigned on October 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Matthew Koennecke, PT, DPT?
Matthew Koennecke, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number TE012300.
Where does Matthew Koennecke, PT, DPT practice?
The practice location is 419 E Main St Ste 110, Middletown, NY 10940-2552. The office can be reached at 845-344-1899 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134760416 directly on the NPPES registry website.