Kevin Russell Eikey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011901 Issued in MI

Practice address

10078 Lapeer Rd
Suite B
Davison, MI 48423-9031

Phone

(810) 653-6200

Fax

(810) 653-6226

NPI assigned

Mar 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Community Rehabilitation Services,PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rose City, MI
  • NPI 1669424776
  NPD (past)
• Exclusive Physical Therapy Inc

  • Physical Therapist
  • Lansing, MI
  • NPI 1275570186
  NPD (past)
• Natural Health Improvement Center PC

  • General Practice Physician
  • Grandville, MI
  • NPI 1871750505
  NPD (past)

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1548569486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10078 LAPEER RD",
            "address_2": "SUITE B",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239031",
            "telephone_number": "810-653-6200",
            "fax_number": "810-653-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIKEY",
        "first_name": "KEVIN",
        "middle_name": "RUSSELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548569486",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP #",
            "identifier": "0N45090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Dunscombe
• Stanley L. Eden, PSY.D.
• Jonathan Ralph Edgette, FNP-C
• Brendan Tyler Edmonds, OD
• Effort and Ease Integrative Mental Health LLC
• Arwa El Rifai, M.D.
• Jonathan Elin-Calcador, OD
• Christopher Elliot, FNP-BC
• Marielle Elliot, FNP-BC
• Manoharan W Eustace, MD

• Physical Therapist in Davison, MI
• Providers in Davison, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.