Active NPI
Kassidy Zmikly
- Physical Therapist
- Traverse City, MI
National Provider Identifier
1154235364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501304613
- Practice address
- 1000 Pavilions Cir
Traverse City, MI 49684-3098 - Phone
- (231) 932-3000
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501304613 | MI | Primary |
Addresses
Primary practice location
1000 Pavilions Cir
Traverse City, MI 49684-3098
Mailing address
9245 N 39 1/2 Rd
Manton, MI 49663-9618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1154235364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 N 39 1/2 RD",
"city": "MANTON",
"state": "MI",
"postal_code": "496639618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PAVILIONS CIR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496843098",
"telephone_number": "231-932-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZMIKLY",
"first_name": "KASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501304613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.