Magdalene Koethe, DCC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7057 Issued in MN

Practice address

5250 W 74TH St Ste 8
Edina, MN 55439-2229

Phone

(962) 479-0743

NPI assigned

Jan 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nordic Rehab and Chiropractic

  • Chiropractor
  • Edina, MN
  • NPI 1780547406
  NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1760195077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W 74TH ST STE 8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W 74TH ST STE 8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392229",
            "telephone_number": "962-479-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETHE",
        "first_name": "MAGDALENE",
        "credential": "DCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Kay Marie Parker Koch, FNP-BC
• Marianne Kochinski, OTR
• David Kocoj, MD
• Kodiak Recovery
• Yelty Koe, LAC
• Amanda Kohlmeier, M.D.
• Angela Esther Koich, MS, LAT, ATC
• Leigh Koidahl, M.D.
• Emily Chiesa Koller, OTD, OTR/L
• Mark Koller

• Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.