=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356209191
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARLI MARIE KOCHMAN CPO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 02/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 901 45TH ST
-----------------------------------------------------
City | MANGONIA PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33407-2413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-844-5255
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5880 N LA CHOLLA BLVD STE 150
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85741-3592
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-322-4499
-----------------------------------------------------
Fax | 520-372-2528
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 224P00000X
-----------------------------------------------------
Taxonomy Name | Prosthetist
-----------------------------------------------------
License Number | CPO05662
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 222Z00000X
-----------------------------------------------------
Taxonomy Name | Orthotist
-----------------------------------------------------
License Number | CPO05662
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------