MR. KEVIN JAMES LACEY (NPI# 1447346036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447346036 |
| Entity Type | Individual |
| Full Name | MR. KEVIN JAMES LACEY |
| Credential | PT, DPT |
| Practice Address |
23200 Red Arrow Hwy A Mattawan MI 49071-7754 |
| Mailing Address |
23211 Red Arrow Hwy Mattawan MI 49071-9701 |
| Practice Telephone | 2696685930 |
| Practice Fax Number | 2696685921 |
| Mailing Telephone | 2696685930 |
| Mailing Fax Number | 2696685921 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070008138 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 5501010346 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA INS | 7993476 | 01 |
| MI | IBA HEALTH PLANS | 6430129 | 01 |
| MI | BCBS MI | 650H000020 | 01 |
| MI | TAX ID | 810584027 | 01 |
| MI | GREATLAKES HEALTH PLAN | 155764 | 01 |
| MI | ACS/FED GOVT | 310159700 | 01 |
| MI | BCN MI | 650H000020 | 01 |
| Street Address |
23200 RED ARROW HWY A |
| City | MATTAWAN |
| State | MI |
| Zip Code | 49071-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723408 | Robert Mcdonald | Dentist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7774 | 2020-09-03 |
| 1437692019 | Nicole Straub | Dental Hygienist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7774 | 2016-11-30 |
| 1780002014 | Melissa Hulbert | Dental Hygienist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2014-04-03 |
| 1558784884 | Van Buren/cass District Public Health Department | Dental Hygienist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2014-01-22 |
| 1417385089 | Van Buren/cass District Public Health Department | Dentist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2013-10-17 |
| 1164649497 | Lacey Physical Therapy Center Incorporated | Specialist | 23200 Red Arrow Hwy, Suite A, Mattawan, MI 49071-7754 | 2007-04-19 |
| 1063564086 | Dorothy Kristina Griswold | Dentist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617598 | Sheryl Ann Miller | Psychologist | 8570 Pq Avenue, Mattawan, MI 49071 | 2018-07-30 |
| 1568997054 | Willow Path Counseling Services | Community/Behavioral Health | 8089 Stadium Drive, Suite A, Kalamazoo, MI 49071 | 2017-04-22 |
| 1154508596 | Red Cedar Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 50762 Kiawah Trail, Suite B, Mattawan, MI 49071 | 2008-01-29 |
| 1639214794 | Rebecca Carr | Speech-Language Pathologist | 22899 Weather Vane Ct, Mattawan, MI 49071 | 2007-02-20 |
| 1891898730 | Edward I Porter | Counselor | 5500 Armstrong Road, Battle Creek Vamc, Battle Creek, MI 49071 | 2006-09-06 |
| 1376655365 | Mattawan Pharmacy | Pharmacy | 52366 N Main St, Mattawan, MI 49071-0069 | 2006-08-31 |
| 1164812491 | Sarah Mohney | Specialist/Technologist | 26402 Trestle Creek Ave, Mattawan, MI 49071-7713 | 2015-01-26 |
| 1114071487 | Shannon L Logsdon | Physical Therapist | 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071-7754 | 2007-01-23 |
| 1174096317 | Stephanie Keeler | Counselor | 24305 Brownstone Blvd, Mattawan, MI 49071-7815 | 2019-01-10 |
| 1154426609 | Kayla Ranger-dean | Chiropractor | 55475 N Main St, Mattawan, MI 49071-8304 | 2006-09-13 |
| Find all providers in zip 49071 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511779 | Shelby Waggoner | Physical Therapist | 24466 Red Arrow Hwy, Suite D, Mattawan, MI 49071-9804 | 2016-11-22 |
| 1457712671 | Jeffrey Paul Ott | Physical Therapist | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 | 2016-03-16 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1114071487 | Shannon L Logsdon | Physical Therapist | 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071-7754 | 2007-01-23 |
| 1225640386 | Kelsey Allyn Berry | Physical Therapist | 24466 Red Arrow Hwy, Mattawan, MI 49071-9804 | 2020-08-20 |
| 1972156883 | Jeanne Marie Nystrom | Physical Therapist | 23332 Red Arrow Hwy, Mattawan, MI 49071-9703 | 2019-07-19 |
| 1366923484 | Ian Heinicke | Physical Therapist | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548589 | Dipal Patel | Physical Therapist | 4063 Pond Run, Canton, MI 48188-2176 | 2020-11-04 |
| 1215538855 | No Limits Physical Therapy | Physical Therapist | 36223 Ladywood St, Livonia, MI 48154-2027 | 2020-11-02 |
| 1487254322 | Kelsey Renee Fischer | Physical Therapist | 8111 S State Rd, Goodrich, MI 48438-8946 | 2020-10-29 |
| 1457951493 | Wellness and Movement Transformation | Physical Therapist | 1276 Long Lake Ct, Brighton, MI 48114-9640 | 2020-10-29 |
| 1851991392 | Daniel Paul Swanson | Physical Therapist | 2849 Michigan St Ne Ste 100, Grand Rapids, MI 49506-1216 | 2020-10-26 |
| 1215536040 | Wholistic Physical Therapy Clinic | Physical Therapist | 4197 E Grand River Ave, Howell, MI 48843-8523 | 2020-10-22 |
| 1922607183 | Brian Glenn Mccarroll | Physical Therapist | 14626 23 Mile Rd, Shelby Township, MI 48315-3000 | 2020-10-20 |
| 1598364846 | Jenna Schra | Physical Therapist | 12723 N Bellwood Dr Ste 10, Holland, MI 49424-7275 | 2020-10-19 |
| 1396343596 | Athletico Ltd | Physical Therapist | 2090 W Grand River Ave Ste C, Okemos, MI 48864-1773 | 2020-10-12 |
| 1538767728 | Allen Physical Therapy Novi LLC | Physical Therapist | 26850 Providence Pkwy Ste 400, Novi, MI 48374-1263 | 2020-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. KEVIN JAMES LACEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.