Raquel Sara Koch

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

221542 Issued in AK

Practice address

118 Creek Side Way
Ball Ground, GA 30107-4621

Phone

(786) 339-0950

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, AK, TN3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy IncGroup PAC ID 0941228548, 44 clinicians

United Physical Therapy IncGroup PAC ID 1355231853, 34 clinicians

Southern Rehab and AquaticsGroup PAC ID 7810917051, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

51.66 of 100Reported as group

Quality

11.38

Promoting interoperability

98

Improvement activities

0

Cost

79.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (4 of 5)

Locations

Networks

• Freedom Health HMO Network

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.

• Advanced Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1437214459

  AK, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southern Rehab & Aquatics

  • Physical Therapist
  • Kimball, TN
  • NPI 1760502520
  Medicare reassignment Care Compare group NPD
• United Physical Therapy, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1609888130

  AK

  Medicare reassignment Care Compare group
• Willow Physical Therapy, Limited

  • Orthopedic Physical Therapist
  • Fairbanks, AK
  • NPI 1831123165

  AK

  Medicare reassignment NPD
• Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.

  • Specialist
  • Jacksonville, NC
  • NPI 1164482402
  NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1760132823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CREEK SIDE WAY",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074621",
            "telephone_number": "786-339-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CREEK SIDE WAY",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074621",
            "telephone_number": "786-339-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "RAQUEL",
        "middle_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37775",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6035",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22384",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016516",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "221542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225100000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariellah Haynes, BCBA
• Gail White Hudson, L.C.S.W.
• Michelle Fincher Ireland, DMD
• Kameron William Karch, PHARMD, RPH
• Ryan Klopfer, DC
• Laura Leigh NMT Inc
• Avery Lusk, MS, RDN, LDN
• Tiffany Kelly Maas, LPC
• Sonya Mabry, FNP-C
• Mary Amanda Marcus, LPT

• Physical Therapist in Ball Ground, GA
• Providers in Ball Ground, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.