DR. KYLE MARTIN HEISE (PT, DPT) – Physical Therapist, NPI 1063009587

DR. KYLE MARTIN HEISE (PT, DPT) is a healthcare provider. based in Canton, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501019887 (MI). The NPI Number for DR. KYLE MARTIN HEISE (PT, DPT) is 1063009587

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE MARTIN HEISE (PT, DPT)
NPI
1063009587
Phone
(248) 733-4325
Address
39933 FORD RD
Enumeration Date
30 December 2020
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487334325
Graduation Year
2020 (6 years ago)
PAC ID
9133532393
Group Practice PAC ID
2365789203
Professional Enrollment ID
I20210106003151
Address ID
MI481874400CA39933RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. KYLE MARTIN HEISE (PT, DPT)

  • 39933 FORD RD

    CANTON, MI 481874400

    Phone: (248) 733-4325

    Fax: (248) 268-7979

    Type: Location

  • 14256 FARMINGTON RD

    LIVONIA, MI 481545423

    Phone: (313) 930-0366

    Type: Mailing

  • 23965 Novi Rd Ste 150

    Novi, MI 483750203

    Phone: (248) 513-3730

    Fax: (238) 513-3733

    Type: Location

  • 23965 NOVI RD STE 150

    NOVI, MI 483750203

    Phone: (248) 513-3730

    Fax: (238) 513-3733

    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: 2021-01-06

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
I20210106003151IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,04035$0
97530Therapy procedure using functional activities36931$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes23931$0
97140Therapy procedure using manual technique, each 15 minutes8115$0
97535Training for self-care or home management, each 15 minutes3524$0
View full utilization report →

Insurance plans in this area (ZIP 48187)

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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: 2365789203View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Occupational Therapist In Private PracticeWI
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify DR. KYLE MARTIN HEISE (PT, DPT) with an NPI only?
You can start verification with NPI 1063009587 for DR. KYLE MARTIN HEISE (PT, DPT), then check state licensing separately.
Is DR. KYLE MARTIN HEISE (PT, DPT) listed as active for patients and plans?
The listing shows DR. KYLE MARTIN HEISE (PT, DPT) as active in the NPI system.
What is DR. KYLE MARTIN HEISE (PT, DPT) best known for clinically?
Directory data describes DR. KYLE MARTIN HEISE (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KYLE MARTIN HEISE (PT, DPT)?
DR. KYLE MARTIN HEISE (PT, DPT)'s geographic hint is Canton, Michigan in our summary view.
Why does DR. KYLE MARTIN HEISE (PT, DPT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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