Daniel Eric Bannink, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015022 Issued in MI

Practice address

3009 S Baldwin Rd
Orion, MI 48359-2362

Phone

(248) 393-7707

Fax

(248) 393-7708

NPI assigned

Feb 16, 2010

Sex

Male

Sole proprietor

Yes

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KKS of Michigan LLC 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.57 of 100Reported as group

Quality

68.23

Improvement activities

40

Cost

70.93

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.

• KKS of Michigan LLC

  • Physical Therapy Clinic/Center
  • Orion, MI
  • NPI 1225233273

  MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1265754451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 S BALDWIN RD",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483592362",
            "telephone_number": "248-393-7707",
            "fax_number": "248-393-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 S BALDWIN RD",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483592362",
            "telephone_number": "248-393-7707",
            "fax_number": "248-393-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNINK",
        "first_name": "DANIEL",
        "middle_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alhanan Home Care LLC
• Nicole Andridge, SBD
• Reginald Apolonio
• Baldwin Eye Care P L L C
• Bennett Specific Chiropractic, Inc
• Christopher Brian Bennett, D.C.
• Kristine Bilbie-Bekius, LPC
• Celia Louise Bourgeau, M.S. T.L.L.P.
• Kimberlie Campbell-Glasco

• All providers in Orion, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.