Garrett Kendall, CPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1065050 Issued in MI

Practice address

69281 M 62
Edwardsburg, MI 49112-8664

Phone

(708) 990-7294

NPI assigned

Oct 3, 2024

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1912725334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69281 M 62",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491128664",
            "telephone_number": "708-990-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69281 M 62",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491128664",
            "telephone_number": "708-990-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "GARRETT",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "1065050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Hartman
• Healthy Cocoon Practice PLLC
• Rachel Marie Hodge, LMT
• Tara D Holy, RDN, LD
• Joshua Rodgers Jones, D.C.
• Amy Kniffin
• Jennifer Lynn Lambart, O.D.
• LG'S Whispering Pines
• Lindsey Danielle Lira, M.D.
• Drew Allen Mikel

• Physical Medicine & Rehabilitation Physician in Edwardsburg, MI
• Providers in Edwardsburg, 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 3, 2024; 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.