WILL KNOLL – Physical Therapist, NPI 1033802459

WILL KNOLL is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501302579 (MI). The NPI Number for WILL KNOLL is 1033802459

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
WILL KNOLL
NPI
1033802459
Phone
Not provided
Address
625 KENMOOR AVE SE STE 100
Enumeration Date
31 May 2023
Last Update Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693290934
Graduation Year
2023 (3 years ago)
PAC ID
1557729472
Group Practice PAC ID
8921065707
Professional Enrollment ID
I20230623002671
Address ID
MI490023050PO6016XLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for WILL KNOLL

  • 625 KENMOOR AVE SE STE 100

    GRAND RAPIDS, MI 495462395

    Phone:

    Type: Mailing

  • 6016 LOVERS LN STE 3

    PORTAGE, MI 490023050

    Phone: (269) 329-0934

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230623002671IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41337$0
97140Therapy procedure using manual technique, each 15 minutes33428$0
97530Therapy procedure using functional activities27620$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24130$0
97161Evaluation for physical therapy, typically 20 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921065707View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeOR
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the registry number for WILL KNOLL?
The registry entry for WILL KNOLL shows NPI 1033802459.
Does the public listing show WILL KNOLL as active?
WILL KNOLL's NPI record reflects an active status in NPPES.
How should patients interpret WILL KNOLL's specialty?
The extract shows Physical Therapist for WILL KNOLL. Clinical services aligned with this taxonomy classification.
Can patients visit WILL KNOLL in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for WILL KNOLL, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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