Mary Koch, PT
NPI 1164949715 · Physical Therapist · Blaine, MN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Koch, PT is a Physical Therapist provider in Blaine, MN (NPI 1164949715).
Provider details
- NPI number
- 1164949715
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 10679 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
368 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 129 | $25 |
| Therapy Procedure Using Functional Activities97530 | 126 | $30 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 93 | $20 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 20 | $96 |
Typical Medicare-allowed amounts for these services range $20–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Frequently asked questions
- What is Mary Koch's NPI number?
- Mary Koch's National Provider Identifier (NPI) is 1164949715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Koch's specialty?
- Mary Koch is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mary Koch located?
- Mary Koch's practice location on file with NPPES is 11225 Ulysses St Ne, Blaine, MN 55434-4261.
- What is Mary Koch's phone number?
- The practice phone number listed in the NPPES registry for Mary Koch is (763) 302-2600.
- Does Mary Koch accept Medicare?
- Mary Koch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Koch's NPI active?
- Yes — Mary Koch's NPI (1164949715) is active in the NPPES registry as of the last update on 2021-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.