MEDICARE: KOENIG PHYSICAL MEDICINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1154037554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOENIG PHYSICAL MEDICINE PLLC

Provider Business Mailing Address
First Line	:	800 W 18TH ST STE 120
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-3759
Country	:	US
Telephone Number	:	405-726-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W 18TH ST STE 120
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-3759
Country	:	US
Telephone Number	:	405-726-2727
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DESIREE ANN KOENIG
Credential	:
Telephone Number	:	405-726-2727

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	02/01/2023

Similar Medicare Providers

1710816673 — MADINA MEDICAL GROUP PC INC
Practice Location Address:

800 W 18TH ST STE 140
EDMOND, OK
73013-3759

Practice Phone: 716-238-1473
Practice Fax:

1538571690 — KOENIG HEALTHCARE EDMOND PLLC
Practice Location Address:

800 W 18TH ST STE 100
EDMOND, OK
73013-3759

Practice Phone: 405-726-2727
Practice Fax: 405-216-5724

1659855666 — PRIMARY CARE CENTERS OF AMERICA, LLC
Practice Location Address:

800 W 18TH ST STE 130
EDMOND, OK
73013-3759

Practice Phone: 405-513-7257
Practice Fax: 405-513-7267

1366001315 — KARA NICOLE DE LA PENA APRN-CNP
Practice Location Address:

800 W 18TH ST STE 140
EDMOND, OK
73013-3759

Practice Phone: 405-696-7003
Practice Fax: 541-325-4041

1497362305 — JTM PIVOT CORP
Practice Location Address:

800 W 18TH ST STE 100
EDMOND, OK
73013-3759

Practice Phone: 405-315-8180
Practice Fax: 405-216-5724

1700543402 — NP2GO
Practice Location Address:

800 W 18TH ST STE 140
EDMOND, OK
73013-3759

Practice Phone: 405-696-7003
Practice Fax: 541-325-4041

Directions to “KOENIG PHYSICAL MEDICINE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.