Michael R. Koch, PT
NPI 1225058878ActiveIndividual· Physical Therapist· Waupaca, WI
Physical Therapist (PT) with Spine and Sport Physical Therapy of Waupaca LLC, practicing in Waupaca, Wisconsin. Medicare paid $26,753 for services to 41 patients in 2024.
Overview
| NPI | 1225058878 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Oct 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4135-024 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 1,402 across 8 procedure codes |
| Paid by Medicare | $26,753 |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Spine and Sport Physical Therapy of Waupaca LLCWaupaca, WI · 3 clinicians
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All 25 physical therapists in Waupaca · All physical therapists in Wisconsin