Active NPI
Joel Kangas, DPT
- Physical Therapist
- Marquette, MI
National Provider Identifier
1760977938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018658
- Practice address
- 1455 W Fair Ave
Marquette, MI 49855-2654 - Phone
- (906) 226-0574
- Fax
- (888) 347-1135
- NPI assigned
- Jun 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018658 | MI | Primary |
Addresses
Primary practice location
1455 W Fair Ave
Marquette, MI 49855-2654
Mailing address
1455 W Fair Ave
Marquette, MI 49855-2654
Phone (906) 225-3945
Other practice location 1
2345 Biehn St
Klamath Falls, OR 97601-1761
Phone (541) 882-4612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Central Michigan College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 W Fair Ave
Marquette, MI 49855-2654
Phone (906) 226-0574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquette Rehabilitation & Sports Medicine Center | Physical Therapist | Current | Accepting new patients |
| Active Rehab of Michigan | Physical Therapist | Past | Accepting new patients |
| Integrated Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Active Rehab Group LLC | Physical Therapist | Past | Accepting new patients |
| Integrated Health & Wellness, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1455 W Fair Ave
Marquette, MI 49855
Phone (906) 226-0574
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Marquette, MI
- NPI 1376771287
Physical Therapist
-
- Physical Therapist
- Bad Axe, MI
- NPI 1235488230
-
- Physical Therapist
- Klamath Falls, OR
- NPI 1902109671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1760977938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 W FAIR AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552654",
"telephone_number": "906-225-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 W FAIR AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552654",
"telephone_number": "906-226-0574",
"fax_number": "888-347-1135"
}
],
"practiceLocations": [
{
"address_1": "2345 Biehn St",
"address_purpose": "LOCATION",
"city": "Klamath Falls",
"state": "OR",
"postal_code": "976011761",
"country_code": "US",
"telephone_number": "541-882-4612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANGAS",
"first_name": "JOEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-28",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.