Individual provider Active NPI

Cheryl Ann Koch, PT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1174579189
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 009029 Issued in OH
Practice address
2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324
Phone
(561) 244-3627
Fax
(561) 244-0222
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 009029 OH Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324

Mailing address

2500 Quantum Lakes Dr
Suite 108
Boynton Beach, FL 33426-8324
Phone (561) 244-3627

Other identifiers 1

IdentifierTypeStateIssuer
PT009029OtherOHPT #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 009029OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brahms, Cohn & Leb, Inc Past Accepting new patients
Western Reserve Professional Group Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174579189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-244-3627",
            "fax_number": "561-244-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 108",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-244-3627",
            "fax_number": "561-244-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 009029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT #",
            "identifier": "PT009029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.