NATHAN RYAN KUCK (DPT, PT) – Physical Therapist, NPI 1629696216

NATHAN RYAN KUCK (DPT, PT) is a healthcare provider. based in Plymouth, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT, PT. They hold a License No. 5501019630 (MI). The NPI Number for NATHAN RYAN KUCK (DPT, PT) is 1629696216

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN RYAN KUCK (DPT, PT)
NPI
1629696216
Phone
(734) 416-3900
Address
9368 N LILLEY RD
Enumeration Date
9 July 2020
Last Update Date
20 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
9739504630
Group Practice PAC ID
0648419077
Professional Enrollment ID
I20200810002305
Address ID
MI483741319NO46001AXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,481 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for NATHAN RYAN KUCK (DPT, PT)

  • 9368 N LILLEY RD

    PLYMOUTH, MI 481704610

    Phone: (734) 416-3900

    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: 2020-08-10

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
I20200810002305IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,56769$0
97530Therapy procedure using functional activities1,27366$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes78262$0
97150Therapy procedure in a group setting31147$0
97162Evaluation for physical therapy, typically 30 minutes3836$0
View full utilization report →

Insurance plans in this area (ZIP 48170)

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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: 0648419077View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNC

Reviews

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Frequently asked questions

What NPI should I save for NATHAN RYAN KUCK (DPT, PT)?
Save NPI 1629696216 if you need a stable reference for NATHAN RYAN KUCK (DPT, PT).
Is NATHAN RYAN KUCK (DPT, PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NATHAN RYAN KUCK (DPT, PT) work in?
You can think of NATHAN RYAN KUCK (DPT, PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is NATHAN RYAN KUCK (DPT, PT)'s primary listing?
We display Plymouth, Michigan because that is what the record indicates for NATHAN RYAN KUCK (DPT, PT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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