AMY KOCH (PT, CMPT, COMT) – Physical Therapist, NPI 1417385915

AMY KOCH (PT, CMPT, COMT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CMPT, COMT. They hold a License No. 2511 (NE). The NPI Number for AMY KOCH (PT, CMPT, COMT) is 1417385915

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
AMY KOCH (PT, CMPT, COMT)
NPI
1417385915
Phone
(402) 354-9070
Address
8005 Farnam Dr
Enumeration Date
18 October 2013
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023153603
Graduation Year
2006 (20 years ago)
PAC ID
2264664879
Group Practice PAC ID
2062936586
Professional Enrollment ID
I20140415000035
Address ID
NE680464211PA11336STXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for AMY KOCH (PT, CMPT, COMT)

  • 8005 Farnam Dr

    Ste 303

    Omaha, NE 681143426

    Phone: (402) 354-9070

    Fax: (402) 354-9075

    Type: Location

  • 8005 FARNAM DR

    STE 303

    OMAHA, NE 681143426

    Phone: (402) 354-9070

    Fax: (402) 354-9075

    Type: Location

  • PO BOX 3755

    OMAHA, NE 681030755

    Phone: (402) 354-2100

    Fax: (402) 354-2155

    Type: Mailing

  • 11336 S 96TH ST STE 114

    PAPILLION, NE 680464211

    Phone: (402) 315-3603

    Fax: (402) 718-9973

    Type: Location

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: 2014-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20140415000035IPhysical Therapist In Private PracticeNE2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes73252$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes71555$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30536$0
97161Evaluation for physical therapy, typically 20 minutes4640$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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Provider's Procedures

AMY KOCH (PT, CMPT, COMT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47537
PHYSICAL THERAPYNE97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes19827

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: 2062936586View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What number should I use to identify AMY KOCH (PT, CMPT, COMT) for billing?
Administrative and clinical systems typically use NPI 1417385915 for AMY KOCH (PT, CMPT, COMT).
Should I treat AMY KOCH (PT, CMPT, COMT) as an active provider?
Patients and plans typically see AMY KOCH (PT, CMPT, COMT) as active in the national extract.
Which specialty label fits AMY KOCH (PT, CMPT, COMT)?
NPPES ties AMY KOCH (PT, CMPT, COMT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to AMY KOCH (PT, CMPT, COMT)?
The directory associates AMY KOCH (PT, CMPT, COMT) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Can I export AMY KOCH (PT, CMPT, COMT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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