Katherine Koch, PT, DPT, OMPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501018588 Issued in MI

Practice address

54945 Mound Rd
Shelby Township, MI 48316-6028

Phone

(586) 992-1500

Fax

(586) 992-8050

NPI assigned

Mar 9, 2018

Last updated

May 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Moy Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Spine and Sports Therapy IncGroup PAC ID 6901814888, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Orthopedic Spine and Sports Therapy Inc

  • Physical Therapy Clinic/Center
  • Shelby Township, MI
  • NPI 1154519064
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1750884433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54945 MOUND RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166028",
            "telephone_number": "586-992-1500",
            "fax_number": "586-992-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54945 MOUND RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483166028",
            "telephone_number": "586-992-1500",
            "fax_number": "586-992-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "KATHERINE",
        "credential": "PT, DPT, OMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501018588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MOY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophia Rose Klein
• Kaitlyn Knaack
• Carly Knudsen, FNP-C
• Gregory B Koby, D.O.
• Elizabeth Koch, FNP
• Dana Marie Kopacz
• Haley Korbel, FNP
• Chloe Faye Korber
• Amanda Kornelson, COTAL
• Katie Koscielski

• Orthopedic Physical Therapist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.