SUSAN KOCH (PT) – Physical Therapist, NPI 1629211164

SUSAN KOCH (PT) is a healthcare provider. based in Highland park, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 070011108 (IL). The NPI Number for SUSAN KOCH (PT) is 1629211164

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN KOCH (PT)
NPI
1629211164
Phone
Not provided
Address
600 CENTRAL AVE
Enumeration Date
14 April 2009
Last Update Date
20 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472212222
Graduation Year
1998 (28 years ago)
PAC ID
2062647555
Group Practice PAC ID
0042216921
Professional Enrollment ID
I20131111000082
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN KOCH (PT)

  • Dairy Queen, 600, Central Avenue, Downtown Highland Park, Highland Park, Illinois, 60035, United States

    SUITE 305

    HIGHLAND PARK, IL 600353211

    Phone:

    Type: Mailing

  • 24014 W RENWICK RD

    STE F

    PLAINFIELD, IL 605448708

    Phone: (800) 974-4378

    Fax: (630) 515-1536

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24428$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes19728$0
97530Therapy procedure using functional activities18228$0
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Insurance plans in this area (ZIP 60035)

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Provider's Procedures

SUSAN KOCH (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes42135

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042216921View full group profile
NameSpecialtyState
-IL

Reviews

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Frequently asked questions

Does SUSAN KOCH (PT) have a public NPI I can cite?
Public records show SUSAN KOCH (PT) under NPI 1629211164.
Is SUSAN KOCH (PT)'s NPI status active today?
Active status means SUSAN KOCH (PT)'s NPI record is not deactivated in the public file.
What type of care does SUSAN KOCH (PT) provide?
SUSAN KOCH (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SUSAN KOCH (PT) tied to Highland Park, Illinois?
If you are local to Highland Park, Illinois, SUSAN KOCH (PT) may be relevant to your search.
Who maintains SUSAN KOCH (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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