Angela K Kiekover, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012402 Issued in MI

Practice address

601 Michigan Ave
Suite 220
Holland, MI 49423-4951

Phone

(616) 355-4284

Fax

(616) 355-4285

NPI assigned

Feb 14, 2007

Last updated

Oct 24, 2011By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stanton Crossings Physical Therapy LLC

  • Physical Therapist
  • West Olive, MI
  • NPI 1609802313
  NPD (past)
• West Michigan Rehabilitation PC

  • Rehabilitation Clinic/Center
  • Hamilton, MI
  • NPI 1780614909
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1891838694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MICHIGAN AVE",
            "address_2": "SUITE 220",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234951",
            "telephone_number": "616-355-4284",
            "fax_number": "616-355-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MICHIGAN AVE",
            "address_2": "SUITE 220",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234951",
            "telephone_number": "616-355-4284",
            "fax_number": "616-355-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEKOVER",
        "first_name": "ANGELA",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "65-0-G0-1466-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI STATE LICENSE",
            "identifier": "5501012402",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassem Khreis
• Kid at Heart Therapy, LLC
• Jacquelyn Sue Kiefer, PNP
• April Anne Kiekintveld, MSW, P-LCSW
• Barbara Jean Kiekintveld, LPC
• Deborah Kiekover, M.A., A.T.C.
• Judith K Kievit, LPC
• Anna Killeen, PA-C
• Katie L Kilmartin, LLPC
• Kim Richardson Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.