Kevin Radabaugh

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1570 Kingsway CT
Ste 2
Trenton, MI 48183-1960

Phone

(734) 676-7400

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1851773642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 KINGSWAY CT",
            "address_2": "STE 2",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831960",
            "telephone_number": "734-676-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 KINGSWAY CT",
            "address_2": "STE 2",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831960",
            "telephone_number": "734-676-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADABAUGH",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Cain Puga, DO
• Stephen Paul Pylkas
• Susan Mithoff Quade, OD
• Sarah Mae Queen, MSW INTERN
• Kashif Haseeb Qureshi, MD
• Rafeek M Farah MD PC (Farah Medical Clinic)
• Eyad Rasoul, DPM
• Rola K Rayes, DDS
• Danya Raza
• Kathleen Reckling, OTR/L

• Physical Therapist in Trenton, MI
• Providers in Trenton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.