Active NPI
Markus Koch, LMP
- Mechanotherapist
- Chlesea, MI
National Provider Identifier
1396019766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 7501000733
- Practice address
- 21390 Waterloo Rd
Chlesea, MI 48118 - Phone
- (734) 660-0898
- Fax
- (866) 816-1311
- NPI assigned
- Mar 2, 2012
- Last updated
- Oct 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7501000733 | MI | Primary |
Addresses
Primary practice location
21390 Waterloo Rd
Chlesea, MI 48118
Mailing address
21390 Waterloo Rd
Chelsea, MI 48118-9122
Phone (734) 660-0898
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501000733 | MI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1396019766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21390 WATERLOO RD",
"city": "CHELSEA",
"state": "MI",
"postal_code": "481189122",
"telephone_number": "734-660-0898",
"fax_number": "866-816-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21390 WATERLOO RD",
"city": "CHLESEA",
"state": "MI",
"postal_code": "48118",
"telephone_number": "734-660-0898",
"fax_number": "866-816-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "MARKUS",
"name_prefix": "Mr.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-02",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MI",
"license": "7501000733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chlesea, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.