1. Home
  2. Directory
  3. Illinois
  4. Decatur
  5. Specialist Technologist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL STEPHEN KOCH MS, ATC
NPI 1235105404
Specialist/Technologist - Athletic Trainer in Decatur, IL

Active since February 27, 2006
102 W KENWOOD AVE, DECATUR, IL 62526(217) 876-6820 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Stephen Koch Ms, Atc NPPES

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

MICHAEL STEPHEN KOCH MS, ATC (NPI 1235105404) is an individual athletic trainer provider in Decatur, Illinois, licensed in Illinois (96002099) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1235105404
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMICHAEL STEPHEN KOCHCredential: MS, ATC
Location Address102 W KENWOOD AVEDecatur, IL 62526-4300
Mailing Address3137 Colorado DrDecatur, IL 62526-2332
Phone(217) 876-6820
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1235105404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IL · 96002099
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
102 W KENWOOD AVE, Decatur, IL 62526
Open in Google Maps ↗

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.

MRS. VIRGINIA ANN KERWIN R.D. ,CDE, LDN
Dietitian, Registered
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 545-8000
DRS GRAHAM & GRAHAM LTD
Podiatrist (Foot & Ankle Surgery)
102 W KENWOOD AVE, SUITE 150
DECATUR, IL 62526
Macon County (217) 875-3668
BROOKLYNN JUNE ALDRIDGE
Community Health Worker
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 972-5857
MISS ROBYN PLOESSL DPT
Physical Therapist
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-2690
TAMMY KAY MUNCH PA-C
Physician Assistant
102 W KENWOOD AVE, SUITE 110
DECATUR, IL 62526
Macon County (217) 876-6880
KYLIE VANDYKE
Social Worker (Clinical)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 520-1047
MR. JEFFREY BRUCE ROUNDS M.S., A.T.C., L.A.T
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Clinic/Center (Federally Qualified Health Center (FQHC))
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 872-3800

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 Michael Koch's NPI number?

The NPI number for Michael Koch is 1235105404. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Michael Koch located?

Michael Koch practices at 102 W Kenwood Ave, Decatur, IL 62526. The listed phone number is (217) 876-6820.

What is Michael Koch's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Michael Koch was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.