IndividualActive
Thomas Koehne, PA-C
NPI 1629166434 · Physician Assistant · Altamonte Springs, FL
Provider details
- NPI number
- 1629166434
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA0003198 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
697 Maitland Avenue
Suite 1002
Altamonte Springs, FL 32701
Phone: (407) 539-2111
Fax: (407) 539-1211
Street-level locationGet directions
Mailing address
697 Maitland Avenue
Altamonte Springs, FL 32701
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2013-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.