Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Mark Koehler

Individual provider Occupational Therapist · NPI 1962924845

Nicholas Mark Koehler is an Occupational Therapist in Private Practice in Chantilly, Virginia. Qualified in 2017, 9 years ago. Practices with Fox Rehabilitation Services Me LLC, a 45-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Licensed in
NY, PA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3925 Downs Dr
Chantilly, VA 20151-3308
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 41 Oconnor Rd, Fairport, NY 14450-1327 — (585) 383-2216
  • 20 E Piccadilly St Ste 11&14, Winchester, VA 22601-3971 — (877) 407-3422

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC015725 (PA)
Occupational Therapist Taxonomy 225X00000X · Licence 021605 (NY)

Record details

NPI number1962924845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address1000 Elmwood Ave Ste 400, Rochester, NY 14620-3042

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fox Rehabilitation Services Me Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chantilly