NPIMap

Organization Active NPI

Kaltherapy PC

Doing business as Physical Therapy Services

  • Physical Therapist
  • Kalamazoo, MI
National Provider Identifier
1417061219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KALTHERAPY PC
Doing business as
Physical Therapy Services
Practice address
5886 Venture Park
Kalamazoo, MI 49009-1848
Phone
(269) 375-4737
Fax
(269) 375-2266
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dale J Obryant, OTRNPI 1083728885
Title
President
Phone
(269) 375-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5886 Venture Park
Kalamazoo, MI 49009-1848

Mailing address

5886 Venture Park
Kalamazoo, MI 49009-1848
Phone (269) 375-4737

Other identifiers 1

IdentifierTypeStateIssuer
6430152OtherMIIBA

Other names 1

  • Physical Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

5886 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 375-4737

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417061219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 VENTURE PARK",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091848",
            "telephone_number": "269-375-4737",
            "fax_number": "269-375-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 VENTURE PARK",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091848",
            "telephone_number": "269-375-4737",
            "fax_number": "269-375-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBRYANT",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-375-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBA",
            "identifier": "6430152",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.