Kyle Martin Heise, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019887 Issued in MI

Practice address

39933 Ford Rd
Canton, MI 48187-4400

Phone

(248) 733-4325

Fax

(248) 268-7979

NPI assigned

Dec 30, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to You Rehab PLLCGroup PAC ID 2365789203, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back to You Rehab PLLC

  • Physical Therapist
  • Royal Oak, MI
  • NPI 1386124378
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1063009587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14256 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545423",
            "telephone_number": "313-930-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39933 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874400",
            "telephone_number": "248-733-4325",
            "fax_number": "248-268-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23965 Novi Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483750203",
            "country_code": "US",
            "telephone_number": "248-513-3730",
            "fax_number": "238-513-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISE",
        "first_name": "KYLE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hegira Health, Inc.
• Hegira Health, Inc.
• Hegira Health, Inc.
• Thomas Heimbuch, PTA
• Chika Heise, LPN
• Jessica Helmick, RD
• Roy Helton, LPN
• Cher Henderson
• Marsha D Henderson, MD
• Janice R Hendricks, LMSW

• Physical Therapist in Canton, MI
• Providers in Canton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.