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

Mary A Koch, PT

Individual provider Physical Therapist · NPI 1164949715

Mary A Koch, PT is a Physical Therapist in Private Practice in Blaine, Minnesota. Qualified in 2017, 9 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11225 Ulysses St NE
Blaine, MN 55434-4261
Phone: (763) 302-2600
Fax: (763) 302-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10679 (MN)

Record details

NPI number1164949715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 24, 2017
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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