Jared Koenig, DPT
NPI 1861856650ActiveIndividual· Physical Therapist· Farmington, MI
Physical Therapist (DPT) in Farmington, Michigan, trained at University of South Florida College of Medicine (class of 2015). Medicare paid $26,139 for services to 30 patients in 2024.
Overview
| NPI | 1861856650 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Apr 8, 2016 |
| Last updated in NPPES | Feb 3, 2025 |
| Certified by provider | Feb 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501019945 | MI |
| Physical Therapist | 225100000X | 070022880 | IL |
| Physical Therapist | 225100000X | 05011957A | IN |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 1,076 across 13 procedure codes |
| Paid by Medicare | $26,139 |
Education and affiliations
| Medical school | University of South Florida College of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Athletico LtdOttawa, IL · 2,200 clinicians
- Empowerme Rehabilitation Illinois LLCSpringboro, OH · 354 clinicians
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