Cameron Koch
Individual provider Active NPI Physical Therapist · Auburn, MI
NPI 1609736388 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1609736388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501304221 (MI)
- Practice address
- 100 E Midland Rd
Auburn, MI 48611-9800 - Phone
- (989) 662-7517
- NPI assigned
- Nov 14, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Rehabilitation Specialists of Fowlerville LLC
Practice addresses (Care Compare)
100 E Midland Rd
Auburn, MI 48611-9780
Phone (989) 662-7517
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251215002863 | MI | Practitioner - Physical Therapist in Private Practice | 8426542614 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501304221 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current |
Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current |
Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
100 E Midland Rd
Auburn, MI 48611
Phone (989) 607-5686
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304221 | MI | Yes |
Addresses
Primary practice location
100 E Midland Rd
Auburn, MI 48611-9800
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other providers in Auburn, MI
- Jeffery T. Archbold DO
- Brooklynn Jonassen
- K. H. Counseling and Supervisory Service, LLC
- Jaclyn Kennedy
- Ronald V Klump
- Nicole Kramer
- Carly Elizabeth Kraska
- Amber Kuchar
- Jenna L Lachcik
- Anne Lagrow
All providers in Auburn, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.