Individual provider Active NPI

Stephane Kalmar, PT, DPT

  • Physical Therapist
  • Niles, MI
National Provider Identifier
1700038957
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014118 Issued in MI
Practice address
410 1/2 N 2ND St
Niles, MI 49120-2238
Phone
(269) 687-9594
Fax
(269) 687-9543
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 5501014118 MI Primary

Addresses

Primary practice location

410 1/2 N 2ND St
Niles, MI 49120-2238

Mailing address

410 1/2 N 2ND St
Niles, MI 49120-2238
Phone (269) 687-9594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014118MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Balance Inc Physical Therapist PastSince Jun 1, 2000 Accepting new patients
Life in Balance LLC Physical Therapist Past Accepting new patients
Life in Balance, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1700038957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1/2 N 2ND ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202238",
            "telephone_number": "269-687-9594",
            "fax_number": "269-687-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1/2 N 2ND ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202238",
            "telephone_number": "269-687-9594",
            "fax_number": "269-687-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAR",
        "first_name": "STEPHANE",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.