Headstrong Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HEADSTRONG PHYSICAL THERAPY, LLC

Practice address

5601 W Main St Ste 5
Kalamazoo, MI 49009-3309

Phone

(269) 205-3395

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Evans, PT, DPT, PHD, NCSNPI 1225643208

Title

Owner

Phone

(201) 306-5565

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Evans, PT, DPT

  • Physical Therapist
  • Kalamazoo, MI
  • NPI 1225643208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1083339550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ELDRIDGE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W MAIN ST STE 5",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093309",
            "telephone_number": "269-205-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSTRONG PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-306-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, PHD, NCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hayward
• Kimberly Jo Hayward
• Allison Jean Hazy, MD
• Nancy Ann Heacock, DC
• Marc D Headapohl, M.D.
• Healing Center
• Healing Center Chiropractic PLLC
• Healing House
• Healing in Color Counseling Services, PLLC
• Healing Path Counseling Services LLC

• Physical Therapist in Kalamazoo, MI
• Providers in Kalamazoo, 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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.