Kaylene Renee Mathieu, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2303 Issued in WI

Practice address

104 Dalmar Dr
Kingsford, MI 49802-6620

Phone

(906) 779-5010

Fax

(906) 563-8942

NPI assigned

May 12, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kaylene Renee Sleik Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1881644383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DALMAR DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498026620",
            "telephone_number": "906-779-5010",
            "fax_number": "906-563-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DALMAR DR",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498026620",
            "telephone_number": "906-779-5010",
            "fax_number": "906-563-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "KAYLENE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "670B210470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLENE",
            "last_name": "SLEIK",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marquette General Hospital, Inc. (Marquette Medical Clinic Kingsford)
• Mark Alan Marsden, LLBSW
• Jeneen M Martin, DDS
• Ingrid Martonen, RN
• Samantha Massey
• Ann Heather Mattson, RN
• Jennifer Lee McCarty, LMSW
• Greta Rose McCash, OTR
• Scott Jon McGuire, DDS
• Timothy Joseph McGuire, PT

• Physical Medicine & Rehabilitation Physician in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.