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

Robert Koeller, DPT

Individual provider Physical Therapist · NPI 1285151423

Robert Koeller, DPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Practices with Imove Telept, LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Missouri.

Years since qualifying
9
Licensed in
AZ, MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone: (616) 356-5000
Fax: (616) 356-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3950 Vogel Rd, Arnold, MO 63010-3790 — (636) 461-0900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2021009036 (MO)
Physical Therapist Taxonomy 225100000X · Licence 13306PT (AZ)

Record details

NPI number1285151423
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
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 schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Imove Telept, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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