IndividualActive
Nicole Koenigshof, MSPT
NPI 1760664783 · Physical Therapist · Goshen, IN
Provider details
- NPI number
- 1760664783
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 05011693A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
624 W Lincoln Ave
Goshen, IN 46526-2416
Phone: (574) 931-2801
Fax: (574) 971-8569
Street-level locationGet directions
Mailing address
4251 Lahmeyer Rd
Fort Wayne, IN 46815-5676
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.