KEVIN W SHAVER (PHYSICAL THERAPIST) – Orthopedic Physical Therapist, NPI 1730683202

KEVIN W SHAVER (PHYSICAL THERAPIST) is a healthcare provider. based in Rockford, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PHYSICAL THERAPIST. They hold a License No. 5501016400 (MI). The NPI Number for KEVIN W SHAVER (PHYSICAL THERAPIST) is 1730683202

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN W SHAVER (PHYSICAL THERAPIST)
NPI
1730683202
Phone
Not provided
Address
515 E DIVISION ST
Enumeration Date
20 March 2018
Last Update Date
18 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164597101
Graduation Year
2013 (13 years ago)
PAC ID
1355757048
Group Practice PAC ID
9537136403
Professional Enrollment ID
I20210303002693
Address ID
MI495256406GR1111XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for KEVIN W SHAVER (PHYSICAL THERAPIST)

  • 515, East Division Street, Rockford, Kent County, Michigan, 49341, United States

    ROCKFORD, MI 493411377

    Phone:

    Type: Mailing

  • 1111 LEFFINGWELL AVE NE

    GRAND RAPIDS, MI 495256406

    Phone: (616) 459-7101

    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: 2021-03-03

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
I20210303002693IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes11917$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10522$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5913$0
97161Evaluation for physical therapy, typically 20 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 49341)

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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: 9537136403View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
Orthopedic SurgeryNH
Hand SurgeryMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KEVIN W SHAVER (PHYSICAL THERAPIST)?
KEVIN W SHAVER (PHYSICAL THERAPIST) — NPI 1730683202 — is the standard way to identify this listing.
Does CMS list KEVIN W SHAVER (PHYSICAL THERAPIST) as active?
Yes — KEVIN W SHAVER (PHYSICAL THERAPIST) is active in the NPI listing used on this page.
What is KEVIN W SHAVER (PHYSICAL THERAPIST)'s specialty?
The listing groups KEVIN W SHAVER (PHYSICAL THERAPIST) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KEVIN W SHAVER (PHYSICAL THERAPIST) based?
KEVIN W SHAVER (PHYSICAL THERAPIST) is tied to Rockford, Michigan in the data we show; additional addresses may exist on the full record.
Why does KEVIN W SHAVER (PHYSICAL THERAPIST) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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