DOUGLAS P KOOP DPT
NPI 1558364455
Physical Therapist in Toledo, OH

Active since May 24, 2005Accepts Medicare Assignment
4859 W SYLVANIA AVE STE A, TOLEDO, OH 43623(419) 471-0400(419) 471-0403 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Douglas P Koop Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS P KOOP DPT (NPI 1558364455) is an individual physical therapist in Toledo, Ohio, licensed in Ohio (PT-09627) and active in the NPI registry since May 2005. He is a graduate of Other (1998).

NPPES Registry Identity

NPI1558364455
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDOUGLAS P KOOPCredential: DPT
Location Address4859 W SYLVANIA AVE STE AToledo, OH 43623-3372
Mailing Address4859 W Sylvania Ave Ste AToledo, OH 43623-3372 · (419) 471-0400 · Fax (419) 471-0403
Fax(419) 471-0403
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 24, 2005
Last NPPES UpdateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
NPI 1558364455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in OH · PT-09627
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

4859 W SYLVANIA AVE STE A, Toledo, OH 43623

Other Identifiers 1

Medicaid2714192OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas P Koop Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759380330
PECOS Enrollment IDI20061208000186

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
3,392 services71 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
779 services53 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
382 services37 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
183 services27 patients
Application of electrical stimulation with therapist present, each 15 minutes 97032
Electrical stimulation is a therapeutic treatment that sends light electrical pulses to a specific area of your body. This is done under the supervision of a therapist for 15-minute intervals. It can reduce pain, stimulate muscles, and improve circulation.
93 services11 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
60 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4859 W SYLVANIA AVE STE A
TOLEDO, OH 43623
Physical Therapist
4859 W SYLVANIA AVE STE A
TOLEDO, OH 43623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Koop's NPI number?

The NPI number for Douglas Koop is 1558364455. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Douglas Koop located?

Douglas Koop practices at 4859 W Sylvania Ave Ste A, Toledo, OH 43623. The listed phone number is (419) 471-0400.

What is Douglas Koop's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Douglas Koop enrolled in Medicare?

Yes. Douglas Koop is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Koop accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and UnitedHealthcare list Douglas Koop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Koop was last updated on November 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.