Mary A. Koch, PT
Physical Therapist · Blaine, MN
Mary A. Koch, PT is a physical therapist with a practice address in Blaine, Minnesota, and NPI 1164949715, issued on Aug 24, 2017. Check the license (Minnesota 10679, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary A. Koch
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 10679 MN
Self-reported in NPPES; status is on the state search - Practice location
- 11225 Ulysses St NE, Blaine, MN 55434
- Phone
- (763) 302-2600
- Enumerated
- Aug 24, 2017
- Record last updated
- Jul 1, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (763) 302-2601
- Medicare enrollment
- Enrolled (PECOS I20170914002719); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 5,500 in Minnesota → Look up another NPI →
Also registered at 11225 Ulysses St NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samuel Arnold, DPTPhysical Therapist1013447499
- Eliza Dahly, PA-CPhysician Assistant1104755453
- Caitlin Dewitt, DPTPhysical Therapist1679069751
- Nishant Dwivedi, MDOrthopaedic Hand Surgery Physician1386139327
- Danielle Earp, PA-CPhysician Assistant1225832140
- Elizabeth Erickson, DPTPhysical Therapist1568197044
Verify Mary A. Koch in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 10679Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Infinite Health Collaborative, PABlaine, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary A. Koch among 5,500 physical therapist records in Minnesota
Mary A. Koch, PT is one of 5,500 physical therapist records with a practice address in Minnesota. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 60% of them.
- NPI issued2017 · 60% of these records are older, 35% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 33% of these records are
- Graduated2017 · median 2016 among the 1,841 with a school on file
- Record last updated2021 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
41 physical therapist records list a practice address in Blaine
They are 41 of the 649 NPPES records with a practice address in Blaine, and 5,500 physical therapist records in Minnesota.
All 5,500 in Minnesota → Every provider in Blaine → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Samuel Arnold, DPTBlaine, MN 554341013447499
- Suzanne Behun, PTBlaine, MN 554341447692900
- Amy Holst, PT, DPTBlaine, MN 554341992253397
- Alexis Hydukovich, DPTBlaine, MN 554341144764150
- Sarah Jenks, DPTBlaine, MN 554341053338137
- Tara Lewis, PTBlaine, MN 554341407899701
- Andrea Lewis, DPTBlaine, MN 554341780962381
- Josa Martin, DPTBlaine, MN 554341386190999
Common questions
What is Mary A. Koch, PT's NPI number?
Mary A. Koch, PT's National Provider Identifier (NPI) is 1164949715, issued on Aug 24, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Mary A. Koch, PT located?
The NPPES record lists a practice address at 11225 Ulysses St NE, Blaine, MN, 55434. Phone: (763) 302-2600. Providers update this record themselves, so call before visiting.
How can I verify Mary A. Koch, PT's license?
NPPES lists Minnesota license number 10679, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.