Individual provider Active NPI

Kimberly Barcalow, PT

  • Physical Therapist
  • Saginaw, MI
National Provider Identifier
1225326622
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
550105646 Issued in MI
Practice address
8680 Gratiot Rd Ste B
Saginaw, MI 48609-4885
Phone
(989) 401-4791
Fax
(989) 401-4794
NPI assigned
Jul 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 550105646 MI Primary

Addresses

Primary practice location

8680 Gratiot Rd Ste B
Saginaw, MI 48609-4885

Mailing address

8680 Gratiot Rd Ste B
Saginaw, MI 48609-4885
Phone (989) 401-4791

Other identifiers 1

IdentifierTypeStateIssuer
5501015646OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000863 MI Practitioner - Physical Therapist in Private Practice 5890965164 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renue 001 Freeland LLCGroup PAC ID 8325206535, 5 clinicians

Practice addresses (Care Compare)

8680 Gratiot Rd B
Saginaw, MI 48609-4885
Phone (989) 401-4791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
550105646MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renue 004 Bridgeport, LLC Physical Therapist CurrentSince Jul 27, 2017 Accepting new patients
Renue 006 Saginaw State St LLC Physical Therapist CurrentSince Jul 27, 2017 Accepting new patients
Renue 001 Freeland LLC Physical Therapist CurrentSince Jul 27, 2017 Accepting new patients
Renue 002 Bay City LLC Physical Therapist CurrentSince Jul 27, 2017 Accepting new patients
Renue 018 Tawas, LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Renue 012 Essexville, LLC Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients
Renue 009 Midland LLC Physical Therapist CurrentSince Jul 27, 2017 Accepting new patients
Medical Rehabilitation Physicians PLC Physical Therapist Past Accepting new patients

Locations

401 E Huron Rd
Au Gres, MI 48703
Phone (989) 254-6360

4760 Garfield Rd
Ste B
Auburn, MI 48611
Phone (989) 662-8855

804 N Water St
Bay City, MI 48708
Phone (989) 450-3341

225 Washington Ave
Bay City, MI 48708
Phone (989) 895-4340

3720 Wilder Rd
Ste D
Bay City, MI 48706
Phone (989) 402-1215

2618 Center Ave
Bay City, MI 48708
Phone (989) 450-3341

5460 W Rolling Hills Dr
Bridgeport, MI 48722
Phone (989) 272-4500

406 W Genesee St
Ste B
Frankenmuth, MI 48734
Phone (989) 480-8872

7329 Industrial Dr
Freeland, MI 48623
Phone (989) 573-8266

2520 W Wackerly St
Midland, MI 48640
Phone (989) 423-1240

4431 N US Highway 23
Oscoda, MI 48750
Phone (989) 254-6455

8680 Gratiot Rd
Ste B
Saginaw, MI 48609
Phone (989) 401-4791

4616 State St
Saginaw, MI 48603
Phone (989) 355-1010

1915 Fordney St
Saginaw, MI 48601
Phone (989) 355-1010

540 W Lake St
Ste 3
Tawas City, MI 48763
Phone (989) 984-6075

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225326622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 GRATIOT RD STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486094885",
            "telephone_number": "989-401-4791",
            "fax_number": "989-401-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 GRATIOT RD STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486094885",
            "telephone_number": "989-401-4791",
            "fax_number": "989-401-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCALOW",
        "first_name": "KIMBERLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "550105646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5501015646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.