Individual ProviderJohn R KoegelPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007(310) 659-3018PECOS EnrollmentBased on the most recent information from CMS, provider John R Koegel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396930244Provider TypeIndividualFull NameKoegel, John RCredentialDPTGenderMaleSole ProprietorNoEnumeration Date9/12/2007Last Updated9/21/2007Contact InformationPractice LocationPractice Address8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007Phone(310) 659-3018Fax(310) 657-0816Mailing LocationMailing Address8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007Phone(310) 659-3018Fax(310) 657-0816Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT9352California