NPIMap

Organization Active NPI

Physical Therapy Services of West Michigan LLC

  • Physical Therapist
  • Kalamazoo, MI
National Provider Identifier
1508895806
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY SERVICES OF WEST MICHIGAN LLC
Practice address
606 N 9TH St Ste a
Kalamazoo, MI 49009-3960
Phone
(269) 488-3320
Fax
(269) 372-6113
NPI assigned
Jul 1, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
John Smolen-Hetzel, PTNPI 1588626733
Title
Member
Phone
(269) 488-3320

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

606 N 9TH St Ste a
Kalamazoo, MI 49009-3960

Mailing address

606 N 9TH St Ste a
Kalamazoo, MI 49009-3960
Phone (269) 488-3320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000400 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416951009 Receives reassigned benefits from 4 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

6563 W Main St
Lowr
Kalamazoo, MI 49009
Phone (269) 372-8483

6563 W Main St
Lowr L
Kalamazoo, MI 49009
Phone (269) 372-8483

6563 W Main St
Ste L
Kalamazoo, MI 49009

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1508895806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 9TH ST STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093960",
            "telephone_number": "269-488-3320",
            "fax_number": "269-372-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 9TH ST STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093960",
            "telephone_number": "269-488-3320",
            "fax_number": "269-372-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF WEST MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "SMOLEN-HETZEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-488-3320",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Sep 16, 2026; 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.

Verify at the official NPI Registry.