MARY A KOCH PT
NPI 1164949715
Physical Therapist in Blaine, MN

Active since August 24, 2017Accepts Medicare Assignment
11225 ULYSSES ST NE, BLAINE, MN 55434(763) 302-2600(763) 302-2601 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2021, Aug 14, 2018, Aug 24, 2017 (3 updates tracked since 2017).

About Mary A Koch Pt NPPES

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

MARY A KOCH PT (NPI 1164949715) is an individual physical therapist in Blaine, Minnesota, licensed in Minnesota (10679) and active in the NPI registry since August 2017. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1164949715
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARY A KOCHCredential: PT
Location Address11225 ULYSSES ST NEBlaine, MN 55434-4261
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600
Fax(763) 302-2601
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1164949715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MN · 10679
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

11225 ULYSSES ST NE, Blaine, MN 55434

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary A Koch Pt 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 ID8426322462
PECOS Enrollment IDI20170914002719

Areas of Expertise CMS Part B claims 4

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 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.
129 services23 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.
126 services24 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.
93 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Occupational Therapist (Hand)
11225 ULYSSES ST NE
BLAINE, MN 55434
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434
Physician Assistant
11225 ULYSSES ST NE
BLAINE, MN 55434
Physical Therapist
11225 ULYSSES ST NE
BLAINE, MN 55434

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 Mary Koch's NPI number?

The NPI number for Mary Koch is 1164949715. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Mary Koch located?

Mary Koch practices at 11225 Ulysses St NE, Blaine, MN 55434. The listed phone number is (763) 302-2600.

What is Mary Koch's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mary Koch enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Koch accept?

Health plans from Medica list Mary 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 Mary Koch was last updated on July 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.