Active NPI
Kyle R Wesche, DPT
- Physical Therapist
- Grant, MI
National Provider Identifier
1295214906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 17615 W Moore
Grant, MI 49327-9408 - Phone
- (231) 834-0208
- NPI assigned
- Aug 13, 2018
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
17615 W Moore
Grant, MI 49327-9408
Mailing address
4240 Meadowood CT
Hudsonville, MI 49426-8667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Physical Therapist | Current | Accepting new patients |
| Stay Well Physical Therapy and Wellness LLC | Physical Therapist | Past | Accepting new patients |
| Ivyrehab Northern PT, LLC | Past | Accepting new patients | |
| Northern Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
400 Rounds Dr
Fenton, MI 48430
Phone (810) 629-0530
319 S Bridge St
Linden, MI 48451
Phone (810) 735-0010
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 5
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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Physical Therapist
-
- Physical Therapist
- Rockford, MI
- NPI 1346706223
-
- Physical Therapy Clinic/Center
- Sparta, MI
- NPI 1972592525
-
- Physical Therapist
- Madison Heights, MI
- NPI 1457102758
-
- Physical Therapy Clinic/Center
- Lyndonville, VT
- NPI 1164509980
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1295214906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 MEADOWOOD CT",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17615 W MOORE",
"city": "GRANT",
"state": "MI",
"postal_code": "493279408",
"telephone_number": "231-834-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESCHE",
"first_name": "KYLE",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.