Kyle James Dowbenko, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020226 Issued in MI

Practice address

20554 Hall Rd
Clinton Township, MI 48038-5326

Phone

(586) 868-7000

NPI assigned

Sep 2, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Empower Physical Therapy and Fitness

  • Physical Therapy Assistant
  • Clinton Township, MI
  • NPI 1083019277
  NPD (past)

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1740958719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20554 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-868-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20554 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-868-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWBENKO",
        "first_name": "KYLE",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Doubblestein, LBSW
• Douglas Shore & Sylvia Voelker PTRS
• Ashley Nicole Douglas
• Lindsay Marie Douglas, LLMSW
• Dove Family Dentistry PC
• Latice Renee Dowdell
• Elizabeth Laura Suzanne Dowers, D.O.
• Christina Marie Downey, PTA
• Dr D F Kotsonis PLLC
• Dr. David Riffel, Chiropractor, P.C.

• Physical Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.