Provider Demographics
NPI:1972740496
Name:KOSKE, JAMES STEVEN JR (PT (MSPT))
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEVEN
Last Name:KOSKE
Suffix:JR
Gender:M
Credentials:PT (MSPT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 NAT TURNER BLVD.
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-596-1444
Mailing Address - Fax:866-420-0168
Practice Address - Street 1:250 NAT TURNER BLVD.
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606
Practice Address - Country:US
Practice Address - Phone:757-596-1444
Practice Address - Fax:866-420-0168
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052026312251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic