CAMILLE MARIE KOCH DPT
NPI 1104485853
Physical Therapist - Geriatrics in Pleasant Prairie, WI

Q: What is Camille Koch's NPI number?

The NPI number for Camille Koch is 1104485853. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Q: What is Camille Koch's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Camille Koch was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2019Accepts Medicare Assignment

9651 PRAIRIE RIDGE BLVD, PLEASANT PRAIRIE, WI 53158(262) 333-8158 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Camille Marie Koch Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE MARIE KOCH DPT (NPI 1104485853) is an individual geriatrics provider in Pleasant Prairie, Wisconsin and active in the NPI registry since June 2019. She maintains a secondary practice location in Wauwatosa and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104485853

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameCAMILLE MARIE KOCHCredential: DPT

Location Address9651 PRAIRIE RIDGE BLVDPleasant Prairie, WI 53158-1948

Mailing Address4885 Magnolia Ln NPlymouth, MN 55442-2078 · (612) 816-0366

Phone(262) 333-8158

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 6, 2019

✔ NPI 1104485853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

9651 PRAIRIE RIDGE BLVD, Pleasant Prairie, WI 53158

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Secondary Practice Location 1

Location 16600 River PkwyWauwatosa, WI 53213-3292 · Phone (414) 476-8787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Marie Koch Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840525556

PECOS Enrollment IDI20190717000820

Medicare Billing Reassignments

Medicare enrollment records show Camille Koch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthpro Heritage Rehab & Fitness, LLC

43 mi

Physical Therapist

W180N7890 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
25 clinicians in this Medicare group

NPI 1245755487 (262) 735-8005

Paxxon Healthcare Services LLC

43 mi

Physical Therapist

W180N7890 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
96 clinicians in this Medicare group

NPI 1003174087 (262) 442-4879

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

3,422 services66 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

2,347 services72 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

418 services50 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

365 services52 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

67 services12 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

60 services52 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUMITHRA RAJENDRAN

Physical Therapist

9651 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 333-8158

JOHN DUGUAY DPT

Physical Therapist

9651 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 565-5017

REBECCA M CASSITY OT

Occupational Therapist

9651 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 333-8158

JENNA ZAFFRANN MOTR/L

Occupational Therapist

9651 PRAIRIE RIDGE BLVD
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 455-7408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Koch's NPI number?

The NPI number for Camille Koch is 1104485853. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Camille Koch located?

Camille Koch practices at 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158. The listed phone number is (262) 333-8158.

What is Camille Koch's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Camille Koch enrolled in Medicare?

Yes. Camille Koch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Camille Koch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Koch reassigns Medicare benefits to 2 organizations: Healthpro Heritage Rehab & Fitness, LLC (Menomonee Falls, WI) and Paxxon Healthcare Services LLC (Menomonee Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Koch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Koch accept?

Health plans from UnitedHealthcare list Camille Koch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camille Koch was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.