Individual provider Active NPI

Lacey Kreft, DPT

  • Physical Therapist
  • White Lake, MI
National Provider Identifier
1275913600
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016626 Issued in MI
Practice address
9178 Highland Rd
Ste 2
White Lake, MI 48386-4619
Phone
(248) 698-1277
Fax
(248) 698-2089
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 5501016626 MI Primary

Addresses

Primary practice location

9178 Highland Rd
Ste 2
White Lake, MI 48386-4619

Mailing address

9178 Highland Rd
Ste 2
White Lake, MI 48386-4619
Phone (248) 698-1277

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist PastSince Oct 26, 2017 Accepting new patients
Kinetic Rehabilitation Inc. Past Accepting new patients

Organizations & group practices 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1275913600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9178 HIGHLAND RD",
            "address_2": "STE 2",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864619",
            "telephone_number": "248-698-1277",
            "fax_number": "248-698-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9178 HIGHLAND RD",
            "address_2": "STE 2",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864619",
            "telephone_number": "248-698-1277",
            "fax_number": "248-698-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREFT",
        "first_name": "LACEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.