KEVIN MICHAEL HECKSEL (DPT) – Physical Therapist, NPI 1063766491

KEVIN MICHAEL HECKSEL (DPT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501015360 (MI). The NPI Number for KEVIN MICHAEL HECKSEL (DPT) is 1063766491

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN MICHAEL HECKSEL (DPT)
NPI
1063766491
Phone
(616) 891-7025
Address
4761 LAKE MICHIGAN DR NW STE A
Enumeration Date
7 November 2012
Last Update Date
6 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163652709
Graduation Year
2010 (16 years ago)
PAC ID
0446405443
Group Practice PAC ID
8325033285
Professional Enrollment ID
I20130222000492
Address ID
MI495259684GR4120XNEXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KEVIN MICHAEL HECKSEL (DPT)

  • 4761 LAKE MICHIGAN DR NW STE A

    GRAND RAPIDS, MI 495346300

    Phone: (616) 891-7025

    Fax: (616) 365-3174

    Mailing address matches the actual address.

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: 2013-02-22

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
I20130222000492IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes32931$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30326$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29331$0
97530Therapy procedure using functional activities20521$0
97161Evaluation for physical therapy, typically 20 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49534)

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Provider's Procedures

KEVIN MICHAEL HECKSEL (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation3428

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: 8325033285View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
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

Does KEVIN MICHAEL HECKSEL (DPT) have a public NPI I can cite?
Public records show KEVIN MICHAEL HECKSEL (DPT) under NPI 1063766491.
Should I treat KEVIN MICHAEL HECKSEL (DPT) as an active provider?
Patients and plans typically see KEVIN MICHAEL HECKSEL (DPT) as active in the national extract.
What services align with KEVIN MICHAEL HECKSEL (DPT)'s listing?
KEVIN MICHAEL HECKSEL (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit KEVIN MICHAEL HECKSEL (DPT) in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for KEVIN MICHAEL HECKSEL (DPT), then verify phone and hours locally.
Why is information missing for KEVIN MICHAEL HECKSEL (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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