Individual provider Active NPI

Kami Keding

  • Physical Therapy Assistant
  • Bruce TWP, MI
National Provider Identifier
1164903209
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502001404 Issued in MI
Practice address
80650 Van Dyke Rd
Bruce TWP, MI 48065-1333
Phone
(810) 798-6470
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502001404 MI Primary

Addresses

Primary practice location

80650 Van Dyke Rd
Bruce TWP, MI 48065-1333

Mailing address

80650 Van Dyke Rd
Bruce TWP, MI 48065-1333

Other identifiers 1

IdentifierTypeStateIssuer
382947657MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkeding9036@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5502001404MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1164903209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80650 VAN DYKE RD",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480651333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80650 VAN DYKE RD",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480651333",
            "telephone_number": "810-798-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDING",
        "first_name": "KAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382947657",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeding9036@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "80650 Van Dyke Rd",
            "city": "Bruce Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480651333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bruce TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.