MR. KEVIN SAMUEL PROCTOR (PT) – Orthopedic Physical Therapist, NPI 1508290529

MR. KEVIN SAMUEL PROCTOR (PT) is a healthcare provider. based in Holland, Michigan. specializing in Orthopedic Physical Therapist. They hold the professional credentials PT. They hold a License No. 5501016460 (MI). The NPI Number for MR. KEVIN SAMUEL PROCTOR (PT) is 1508290529

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN SAMUEL PROCTOR (PT)
NPI
1508290529
Phone
(616) 796-6781
Address
730 CHICAGO DR
Enumeration Date
27 August 2013
Last Update Date
8 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6167419555
Graduation Year
2013 (13 years ago)
PAC ID
1951538750
Group Practice PAC ID
1850467887
Professional Enrollment ID
I20131227000908
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MR. KEVIN SAMUEL PROCTOR (PT)

  • 730 CHICAGO DR

    HOLLAND, MI 494233004

    Phone: (616) 796-6781

    Type: Mailing

  • 350 N MAIN ST

    SUITE 180

    CHELSEA, MI 481181370

    Phone: (734) 475-9925

    Fax: (734) 475-9927

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 49423)

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Provider's Procedures

MR. KEVIN SAMUEL PROCTOR (PT) performs procedures in Orthopedic Physical Therapist. 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 minutes10226
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes41630

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: 1850467887View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm MR. KEVIN SAMUEL PROCTOR (PT)'s NPI?
Yes. MR. KEVIN SAMUEL PROCTOR (PT) is listed with NPI 1508290529 in the public NPI dataset.
Is MR. KEVIN SAMUEL PROCTOR (PT) still practicing?
MR. KEVIN SAMUEL PROCTOR (PT) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. KEVIN SAMUEL PROCTOR (PT)?
For research purposes, treat MR. KEVIN SAMUEL PROCTOR (PT) as Orthopedic Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. KEVIN SAMUEL PROCTOR (PT) serve?
MR. KEVIN SAMUEL PROCTOR (PT)'s listing highlights Holland, Michigan; more addresses can appear in NPPES.
Is the information about MR. KEVIN SAMUEL PROCTOR (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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