Kevin Richard Eckles, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013826 Issued in MI

Practice address

1191 S Lapeer Rd
Lapeer, MI 48446-3081

Phone

(810) 969-4841

Fax

(810) 969-4843

NPI assigned

Jun 2, 2008

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ignite Physical Therapy LLC

  • Physical Therapist
  • Lapeer, MI
  • NPI 1467964171

  MI

  Medicare reassignment Care Compare group Authorized official

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ignite Physical Therapy LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2023.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1992963375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463081",
            "telephone_number": "810-969-4841",
            "fax_number": "810-969-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 S LAPEER RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463081",
            "telephone_number": "810-969-4841",
            "fax_number": "810-969-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLES",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Eager
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• East Michigan Infectious Disease PLLC
• Bobby R Echols, DDS
• Jessica Eckel
• Chelsey Leighann Edwards, LMSW
• Toni Edwards, PT
• Edwin L Delange, DO PC
• Kayarri Ellis
• Dezeray Ann Emery

• All providers in Lapeer, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.