MR. JOHN STEPHEN (PT, DPT, CERT. MDT) – Physical Therapist, NPI 1184679144

MR. JOHN STEPHEN (PT, DPT, CERT. MDT) is a healthcare provider. based in Portage, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, CERT. MDT. They hold a License No. 5501009179 (MI). The NPI Number for MR. JOHN STEPHEN (PT, DPT, CERT. MDT) is 1184679144

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN STEPHEN (PT, DPT, CERT. MDT)
NPI
1184679144
Phone
(269) 459-6212
Address
5717 Oakland Dr
Enumeration Date
24 May 2006
Last Update Date
11 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694596212
Graduation Year
2006 (20 years ago)
PAC ID
3274540158
Group Practice PAC ID
9830324482
Professional Enrollment ID
I20060320000303
Address ID
MI490241232PO1908XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MR. JOHN STEPHEN (PT, DPT, CERT. MDT)

  • 5717 Oakland Dr

    Suite B

    Portage, MI 490241116

    Phone: (269) 459-6212

    Fax: (269) 585-6068

    Type: Location

  • East Milham Avenue, Portage, Kalamazoo County, Michigan, 49002, United States

    PORTAGE, MI 490241232

    Phone: (269) 459-6212

    Fax: (269) 585-6068

    Type: Mailing

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: 2006-03-20

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
I20060320000303IPhysical 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 minutes13918$0
97140Therapy procedure using manual technique, each 15 minutes11218$0
97032Application of electrical stimulation with therapist present, each 15 minutes4212$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Provider's Procedures

MR. JOHN STEPHEN (PT, DPT, CERT. MDT) 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 THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes99562
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes38650

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: 9830324482View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
-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

Can I cross-check MR. JOHN STEPHEN (PT, DPT, CERT. MDT) using NPI 1184679144?
NPI 1184679144 belongs to MR. JOHN STEPHEN (PT, DPT, CERT. MDT); compare other details if you need extra assurance.
Is there an active status for MR. JOHN STEPHEN (PT, DPT, CERT. MDT)?
For scheduling context, MR. JOHN STEPHEN (PT, DPT, CERT. MDT) is shown as active in the registry.
What kind of doctor is MR. JOHN STEPHEN (PT, DPT, CERT. MDT)?
MR. JOHN STEPHEN (PT, DPT, CERT. MDT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. JOHN STEPHEN (PT, DPT, CERT. MDT)?
Directory geography for MR. JOHN STEPHEN (PT, DPT, CERT. MDT) centers on Portage, Michigan.
Does MR. JOHN STEPHEN (PT, DPT, CERT. MDT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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