Individual provider Active NPI

Eric J Koch, DPT

  • Physical Therapist
  • Milford, MI
National Provider Identifier
1508414442
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303802 Issued in MI
Practice address
1550 N Milford Rd Ste 203B
Milford, MI 48381-1058
Phone
(248) 685-9623
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 5501303802 MI Primary

Addresses

Primary practice location

1550 N Milford Rd Ste 203B
Milford, MI 48381-1058

Mailing address

1550 N Milford Rd Ste 203B
Milford, MI 48381-1058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930001128 MN Practitioner - Physical Therapist in Private Practice 1759611015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303802MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perham Physical Therapy LTD. Physical Therapist CurrentSince Mar 4, 2020 Accepting new patients

Locations

11995 Singletree Ln
Ste 120
Eden Prairie, MN 55344
Phone (952) 373-5720

2119 Cliff Rd
Saint Paul, MN 55122
Phone (612) 251-8173

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1508414442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MILFORD RD STE 203B",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MILFORD RD STE 203B",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811058",
            "telephone_number": "248-685-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.