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LACEY PHYSICAL THERAPY CENTER INCORPORATED
NPI 1164649497
Specialist in Mattawan, MI

Active since April 19, 2007
23211 RED ARROW HWY, MATTAWAN, MI 49071(269) 668-5930(269) 668-5921 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Lacey Physical Therapy Center Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY PHYSICAL THERAPY CENTER INCORPORATED (NPI 1164649497) is a healthcare organization registered as a specialist in Mattawan, Michigan and active in the NPI registry since April 2007. The organization lists Kevin James Lacey, President, as its authorized official.

NPPES Registry Identity

NPI1164649497
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLACEY PHYSICAL THERAPY CENTER INCORPORATED
Location Address23211 RED ARROW HWYMattawan, MI 49071-9701
Mailing Address23211 Red Arrow HwyMattawan, MI 49071-9701 · (269) 668-5930 · Fax (269) 668-5921
Phone(269) 668-5930
Fax(269) 668-5921
Organization SubpartNo
Authorized OfficialKevin James LaceyPresident · (269) 668-5930
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1164649497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 5501010346
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
23211 RED ARROW HWY, Mattawan, MI 49071
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Other Identifiers 4

Other7993476MI · Aetna
Other650H000020MI · Bcbs Mi
Other155764MI · Great Lakes United Health
Other6430129MI · Iba

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
23211 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 668-5930
DR. IAN HEINICKE PT, DPT
Physical Therapist
23211 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 668-5930
MR. KEVIN JAMES LACEY PT, DPT
Physical Therapist
23211 RED ARROW HWY
MATTAWAN, MI 49071
Van Buren County (269) 668-5930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Physical Therapy Center Incorporated's NPI number?

The NPI number for Lacey Physical Therapy Center Incorporated is 1164649497. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Lacey Physical Therapy Center Incorporated located?

Lacey Physical Therapy Center Incorporated is located at 23211 Red Arrow Hwy, Mattawan, MI 49071. The listed phone number is (269) 668-5930.

What is Lacey Physical Therapy Center Incorporated's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Lacey Physical Therapy Center Incorporated accept?

Health plans from Priority Health list Lacey Physical Therapy Center Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Physical Therapy Center Incorporated was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.