KNOX SIMBA MACHAMIRE – Orthopedic Physical Therapist, NPI 1164269536

KNOX SIMBA MACHAMIRE is a healthcare provider. based in Berrien springs, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 5501303345 (MI). The NPI Number for KNOX SIMBA MACHAMIRE is 1164269536

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
KNOX SIMBA MACHAMIRE
NPI
1164269536
Phone
(269) 605-1999
Address
9025 GEORGE AVE
Enumeration Date
11 July 2024
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346196080
Graduation Year
2024 (2 years ago)
PAC ID
7618413238
Group Practice PAC ID
6901165893
Professional Enrollment ID
I20240719000305
Address ID
MI481978238YP2052XRDXX300

Contacts

Secure Messaging
kmachamire1050742@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

3,481 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for KNOX SIMBA MACHAMIRE

  • 9025 GEORGE AVE

    BERRIEN SPRINGS, MI 491031620

    Phone: (269) 605-1999

    Type: Mailing

  • 2052 WHITTAKER RD

    YPSILANTI, MI 481978238

    Phone: (734) 619-6080

    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: 2024-07-19

PECOS data refreshed: 2026-06-15

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
I20240719000305IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49103)

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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: 6901165893View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Can I verify KNOX SIMBA MACHAMIRE with an NPI only?
You can start verification with NPI 1164269536 for KNOX SIMBA MACHAMIRE, then check state licensing separately.
Does CMS list KNOX SIMBA MACHAMIRE as active?
Yes — KNOX SIMBA MACHAMIRE is active in the NPI listing used on this page.
What is KNOX SIMBA MACHAMIRE's primary classification?
Orthopedic Physical Therapist is the headline specialty for KNOX SIMBA MACHAMIRE here. Clinical services aligned with this taxonomy classification.
What address line appears for KNOX SIMBA MACHAMIRE?
KNOX SIMBA MACHAMIRE's geographic hint is Berrien Springs, Michigan in our summary view.
Is the information about KNOX SIMBA MACHAMIRE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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