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

Jared Koenig, DPT

Individual provider Physical Therapist · NPI 1861856650

Jared Koenig, DPT is a Physical Therapist in Private Practice in Farmington, Michigan. Graduated from University of South Florida College of Medicine in 2015, 11 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Michigan.

Years since qualifying
11
Trained at
University of South Florida College of Medicine
Licensed in
IL, IN, MI
In the registry since
2016
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

23311 Orchard Lake Rd
Farmington, MI 48336-3238
Phone: (248) 474-5516
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019945 (MI)
Physical Therapist Taxonomy 225100000X · Licence 070022880 (IL)
Physical Therapist Taxonomy 225100000X · Licence 05011957A (IN)

Record details

NPI number1861856650
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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