Individual provider Active NPI

Joel Kangas, DPT

  • Physical Therapist
  • Marquette, MI
National Provider Identifier
1760977938
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018658 Issued in MI
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

Updated by the provider on Aug 2, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230804001175 MI Practitioner - Physical Therapist in Private Practice 2961863089 Reassigns benefits to 1 organization

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
Marquette Rehabilitation and Sports Medicine CenterGroup PAC ID 0941351761, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Marquette Rehabilitation & Sports Medicine Center Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Active Rehab of Michigan Physical Therapist Past Accepting new patients
Integrated Physical Therapy, Inc Physical Therapist PastSince Dec 1, 2016 Accepting new patients
Active Rehab Group LLC Physical Therapist PastSince Apr 20, 2009 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.

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.

Verify at the official NPI Registry.