DOUGLAS P KOOP (DPT) – Physical Therapist, NPI 1558364455

DOUGLAS P KOOP (DPT) is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-09627 (OH). The NPI Number for DOUGLAS P KOOP (DPT) is 1558364455

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS P KOOP (DPT)
NPI
1558364455
Phone
(419) 471-0400
Address
4041 W SYLVANIA AVE STE 102
Enumeration Date
24 May 2005
Last Update Date
30 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194710400
Graduation Year
1998 (28 years ago)
PAC ID
1759380330
Professional Enrollment ID
I20061208000186
Address ID
OH436233372TO4859XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for DOUGLAS P KOOP (DPT)

  • West Sylvania Avenue, West Toledo, Toledo, Lucas County, Ohio, 43612, United States of America

    TOLEDO, OH 436234464

    Phone: (419) 471-0400

    Fax: (419) 471-0403

    Type: Mailing

  • 4859 W SYLVANIA AVE STE A

    TOLEDO, OH 436233372

    Phone: (419) 471-0400

    Fax: (419) 471-0403

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061208000186IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,93571$0
97140Therapy procedure using manual technique, each 15 minutes88058$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care32237$0
97035Application of ultrasound, each 15 minutes14520$0
97032Application of electrical stimulation with therapist present, each 15 minutes13412$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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Provider's Procedures

DOUGLAS P KOOP (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOH97001Physical therapy evaluation6762
PHYSICAL THERAPYOH97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes298173

Reviews

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Frequently asked questions

What is the 10-digit NPI for DOUGLAS P KOOP (DPT)?
DOUGLAS P KOOP (DPT) — NPI 1558364455 — is the standard way to identify this listing.
Does CMS list DOUGLAS P KOOP (DPT) as active?
Yes — DOUGLAS P KOOP (DPT) is active in the NPI listing used on this page.
What is DOUGLAS P KOOP (DPT)'s primary classification?
Physical Therapist is the headline specialty for DOUGLAS P KOOP (DPT) here. Clinical services aligned with this taxonomy classification.
What area does DOUGLAS P KOOP (DPT) serve?
DOUGLAS P KOOP (DPT)'s listing highlights Toledo, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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