ERIC J KOCH (DPT) – Physical Therapist, NPI 1508414442

ERIC J KOCH (DPT) is a healthcare provider. based in New hope, Minnesota. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 5501303802 (MI). The NPI Number for ERIC J KOCH (DPT) is 1508414442

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ERIC J KOCH (DPT)
NPI
1508414442
Phone
(763) 208-9545
Address
9220 BASS LAKE RD STE 350
Enumeration Date
3 September 2019
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9523735720
Graduation Year
2019 (7 years ago)
PAC ID
1759611015
Group Practice PAC ID
5092991182
Professional Enrollment ID
I20190930001128
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for ERIC J KOCH (DPT)

  • Bass Lake Rd, Boone Avenue North, New Hope, Hennepin County, Minnesota, 55428, United States

    NEW HOPE, MN 554283095

    Phone: (763) 208-9545

    Type: Mailing

  • 1550 N MILFORD RD STE 203B

    MILFORD, MI 483811058

    Phone:

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190930001128IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
97140Therapy procedure using manual technique, each 15 minutes1,51951$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18732$0
97161Evaluation for physical therapy, typically 20 minutes2621$0
View full utilization report →

Insurance plans in this area (ZIP 55428)

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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: 5092991182View full group profile

Reviews

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Frequently asked questions

How do I look up ERIC J KOCH (DPT) by NPI?
Use NPI 1508414442 when you need to reference ERIC J KOCH (DPT) in forms, claims, or directories.
Is ERIC J KOCH (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ERIC J KOCH (DPT) treat or focus on?
Patients typically see ERIC J KOCH (DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place ERIC J KOCH (DPT)?
The snapshot lists New Hope, Minnesota for ERIC J KOCH (DPT); download NPPES for the complete set.
What if New Hope, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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