Individual provider Active NPI

Kevin C Begeman, DPT

  • Physical Therapist
  • Riverview, MI
National Provider Identifier
1861527772
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012030 Issued in MI
Practice address
13638 Sibley Rd
Riverview, MI 48193-7406
Phone
(734) 288-3739
Fax
(734) 288-3745
NPI assigned
Feb 22, 2007
Last updated
Aug 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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 5501012030 MI Primary

Addresses

Primary practice location

13638 Sibley Rd
Riverview, MI 48193-7406

Mailing address

13638 Sibley Rd
Riverview, MI 48193-7406
Phone (734) 288-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808002045 MI Practitioner - Physical Therapist in Private Practice 7012964976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Connection IncGroup PAC ID 1557309739, 3 clinicians

Practice addresses (Care Compare)

13638 Sibley Rd
Riverview, MI 48193-7406
Phone (734) 288-3739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Connection Inc Physical Therapist CurrentSince Jul 21, 2014 Accepting new patients
The Training Room of Trenton LLC Physical Therapist Past Accepting new patients

Locations

19725 Allen Rd
Ste B
Brownstown Twp, MI 48183
Phone (734) 250-8358

13638 Sibley Rd
Riverview, MI 48193
Phone (734) 288-3739

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1861527772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13638 SIBLEY RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937406",
            "telephone_number": "734-288-3739",
            "fax_number": "734-288-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13638 SIBLEY RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937406",
            "telephone_number": "734-288-3739",
            "fax_number": "734-288-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGEMAN",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.