KAREN KELLY KOCH, OTR — NPI 1003965468 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in COLOMA, MI)

CMS-1500 Box 24J / 33a • NPI

1003965468

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225X00000X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

3243 BIRCH AVE, COLOMA, MI, 49038-9117

✓ 9-Digit EDI 837 ZIP+4 (49038-9117)

Practice Phone & Referral Fax

(269) 978-8340

Fax: (866) 576-3284

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003965468 (KAREN KELLY KOCH, OTR) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003965468` (NPI-1 Individual Practitioner)
Provider / Legal Name	KAREN KELLY KOCH, OTR
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225X00000X` (Occupational Therapist)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	3243 BIRCH AVE, COLOMA, MI, 49038-9117
Practice Telephone / Fax	Tel: (269) 978-8340 \| Fax: (866) 576-3284
Administrative Mailing Address	3243 BIRCH AVE, COLOMA, MI, 49038-9117
Enumeration & Last Sync	Enumerated: 2007-01-08 \| CMS Record Updated: 2020-05-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3243 BIRCH AVE, COLOMA, MI, 49038-9117

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Plain-English Taxonomy & CMS Crosswalk (225X00000X)

What Does Taxonomy Code 225X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KAREN KELLY KOCH, OTR)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: MI \| License: `5201003832` \| Primary: Yes (Primary)
`225XL0004X` — Occupational Therapist, Low Vision Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`225XP0200X` — Occupational Therapist, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`225XE0001X` — Occupational Therapist, Environmental Modification Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: MI \| License: `5201003832` \| Primary: Secondary
`225XE0001X` — Occupational Therapist, Environmental Modification Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`225XF0002X` — Occupational Therapist, Feeding, Eating & Swallowing Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: MI \| License: `5201003832` \| Primary: Secondary
`225XG0600X` — Occupational Therapist, Gerontology Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`225XG0600X` — Occupational Therapist, Gerontology Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: MI \| License: `5201003832` \| Primary: Secondary

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KAREN KELLY KOCH, OTR (NPI #1003965468)