MISS MARJALIZE KIRSTEN (PT) – Physical Therapist, NPI 1275583031
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI
Provider Addresses for MISS MARJALIZE KIRSTEN (PT)
3584 Fairlanes Ave SW
Grandville, MI 494181583
Phone: (616) 531-5025
Fax: (616) 531-5027
Type: Location
737 S US HIGHWAY 131
THREE RIVERS, MI 490938830
Phone: (269) 256-5595
Fax: (269) 216-6634
Type: Location
PO BOX 412031
BOSTON, MA 022412031
Phone: (914) 294-4050
Fax: (631) 760-8306
Type: Mailing
3584, Fairlanes Avenue Southwest, Grandville, Kent County, Michigan, 49418, United States
GRANDVILLE, MI 494181583
Phone: (616) 531-5025
Fax: (616) 531-5027
Type: Location
8087, Burlingame Avenue Southwest, Byron Center, Byron Township, Kent County, Michigan, 49315, United States
BYRON CENTER, MI 493159334
Phone: (616) 405-1085
Type: Mailing
286 HOOVER BLVD
HOLLAND, MI 494233719
Phone: (616) 392-2172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-01-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220104002016 | I | Physical Therapist In Private Practice | MI | TBD |
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.
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 49418)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.