Joshua Kettlewell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017286 Issued in MI

Practice address

5717 Oakland Dr
Portage, MI 49024-1116

Phone

(269) 459-6212

NPI assigned

Jun 6, 2016

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

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.

• Rehab Specialists, LLC

  • Physical Therapist
  • Portage, MI
  • NPI 1366881005
  NPD (past)
• Vitality Healthcare PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1770954703
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1568811065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 BABCOCK RD",
            "city": "LEXINGTON",
            "state": "MI",
            "postal_code": "484509516",
            "telephone_number": "989-817-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241116",
            "telephone_number": "269-459-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTLEWELL",
        "first_name": "JOSHUA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Consultation & Wellness
• Bridget Sage Kenny, P.A.-C.
• Jessica A Kerby, PHD
• Keszei Vision Care, PLC (Keszei Vision Care)
• Vincent Andrew Keszei, M.D.
• Kevin J. Kelly MD, PC
• Kid Strides Physical Therapy LLC
• Amber Kidder
• Sheryl Lynn Kiel, MA LLP
• Stanislava Kier, LLPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.