MCKENZIE MARIE KOCH OTD, OTR/L
NPI 1295626208
Occupational Therapist in Lake City, MN

Active since July 09, 2025
500 W GRANT ST, LAKE CITY, MN 55041(507) 377-6285 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Dec 15, 2025, Jul 9, 2025 (3 updates tracked since 2025).

About Mckenzie Marie Koch Otd, Otr/l NPPES

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

MCKENZIE MARIE KOCH OTD, OTR/L (NPI 1295626208) is an individual occupational therapist in Lake City, Minnesota, licensed in Minnesota (107540) and active in the NPI registry since July 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1295626208
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMCKENZIE MARIE KOCHCredential: OTD, OTR/L
Location Address500 W GRANT STLake City, MN 55041-1143
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 9, 2025
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1295626208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MN · 107540
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
500 W GRANT ST, Lake City, MN 55041

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mckenzie Marie Koch Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991285561
PECOS Enrollment IDI20260213002228

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.

Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Nurse Anesthetist, Certified Registered
500 W GRANT ST
LAKE CITY, MN 55041
Physical Therapist (Orthopedic)
500 W GRANT ST
LAKE CITY, MN 55041
Physical Therapist
500 W GRANT ST
LAKE CITY, MN 55041
Nurse Practitioner
500 W GRANT ST
LAKE CITY, MN 55041
Nurse Practitioner (Family)
500 W GRANT ST
LAKE CITY, MN 55041
Clinic/Center (Multi-Specialty)
500 W GRANT ST
LAKE CITY, MN 55041

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 Mckenzie Koch's NPI number?

The NPI number for Mckenzie Koch is 1295626208. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Where is Mckenzie Koch located?

Mckenzie Koch practices at 500 W Grant St, Lake City, MN 55041. The listed phone number is (507) 377-6285.

What is Mckenzie Koch's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mckenzie Koch enrolled in Medicare?

Yes. Mckenzie Koch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckenzie Koch was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.