Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Koller

Individual provider Physical Therapist · NPI 1699167692

Casey Koller is a Physical Therapist in Private Practice in Sainte Genevieve, Missouri. Qualified in 2014, 12 years ago. Practices with Mid America Rehab, PC, a 14-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015

Practice location Address checks out

21964 Highway 32
Sainte Genevieve, MO 63670-9190
Phone: (573) 883-9366
Fax: (573) 883-9377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2015003523 (MO)

Record details

NPI number1699167692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2015
Last updated in NPPESFebruary 27, 2015
Mailing address11394 State Route M, Sainte Genevieve, MO 63670-8604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mid America Rehab, P.C. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sainte Genevieve