Individual provider Active NPI

Joshua Kingsley, PT

  • Physical Therapist
  • Jonesville, MI
National Provider Identifier
1932591302
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017125 Issued in MN
Practice address
480 Olds St
Jonesville, MI 49250-9433
Phone
(517) 849-7040
Fax
(517) 849-7050
NPI assigned
Feb 23, 2015
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 5501017125 MN Primary

Addresses

Primary practice location

480 Olds St
Jonesville, MI 49250-9433

Mailing address

113 S East Ave
Jackson, MI 49201-2411
Phone (517) 990-6211

Other practice location 1

16 W Carleton Rd
Suite 1
Hillsdale, MI 49242-1226
Phone (517) 439-2376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618000683 MI Practitioner - Physical Therapist in Private Practice 2961713912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Rehab Specialists PCGroup PAC ID 9133136864, 30 clinicians

Practice addresses (Care Compare)

2136 Robinson Rd
Suite 1
Jackson, MI 49203-3558
Phone (517) 750-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017125MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Rehab Specialists, PC Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients

Locations

206 Page Ave
Jackson, MI 49201
Phone (517) 783-6670

3073 Shirley Dr
Jackson, MI 49201

113 S East Ave
Jackson, MI 49201
Phone (517) 990-6210

2136 Robinson Rd
Ste 1
Jackson, MI 49203
Phone (517) 750-2540

480 Olds St
Jonesville, MI 49250
Phone (517) 849-7040

Interoperability endpoints

  • Direct secure messaging: joshua.kingsley.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 1

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": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1932591302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012411",
            "telephone_number": "517-990-6211",
            "fax_number": "517-990-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509433",
            "telephone_number": "517-849-7040",
            "fax_number": "517-849-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 W Carleton Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492421226",
            "country_code": "US",
            "telephone_number": "517-439-2376",
            "fax_number": "517-439-2379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5501017125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.