Active NPI
Kyle Zwarych, DPT
- Physical Therapist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302166
- Practice address
- 1471 E Beltline Ave NE Ste 104
Grand Rapids, MI 49525-4548 - Phone
- (616) 577-8336
- NPI assigned
- Sep 28, 2022
- 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 | 5501302166 | MI | Primary |
Addresses
Primary practice location
1471 E Beltline Ave NE Ste 104
Grand Rapids, MI 49525-4548
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1471 E Beltline Ave NE
Suite 104
Grand Rapids, MI 49525-4548
Phone (616) 233-3596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501302166 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advent Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Advent Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6745 Fulton St E
Ste D
Ada, MI 49301
Phone (616) 274-1014
1471 E Beltline Ave NE
Ste 104
Grand Rapids, MI 49525
Phone (616) 233-3596
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Organizations & group practices 2
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 Therapist
- Grand Rapids, MI
- NPI 1780639658
-
- Physical Therapist
- Grand Rapids, MI
- NPI 1437923729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1821712308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 E BELTLINE AVE NE STE 104",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495254548",
"telephone_number": "616-577-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWARYCH",
"first_name": "KYLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.