Individual provider Active NPI

Mia Helena Knight, DPT

  • Physical Therapist
  • Kalamazoo, MI
National Provider Identifier
1417457367
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
55501017912 Issued in MI
Practice address
2026 Parkview Ave
Kalamazoo, MI 49008-2834
Phone
(269) 775-1551
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 55501017912 MI Primary

Addresses

Primary practice location

2026 Parkview Ave
Kalamazoo, MI 49008-2834

Mailing address

2026 Parkview Ave
Kalamazoo, MI 49008-2834
Phone (269) 775-1551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803000764 MI Practitioner - Physical Therapist in Private Practice 8921480203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Balance PLCGroup PAC ID 7012289580, 7 clinicians

Practice addresses (Care Compare)

2026 Parkview Ave
Kalamazoo, MI 49008-2834
Phone (269) 775-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55501017912MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Balance PLC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

2026 Parkview Ave
Kalamazoo, MI 49008
Phone (269) 352-6045

Organizations & group practices 1

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1417457367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 PARKVIEW AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082834",
            "telephone_number": "269-775-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 PARKVIEW AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082834",
            "telephone_number": "269-775-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MIA",
        "middle_name": "HELENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "55501017912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2023; 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.