MR. KEVIN E SPRAGUE PT
NPI 1306982079
Physical Therapist in Muskegon, MI

Active since January 30, 2007Accepts Medicare Assignment
83.35/100
CMS Quality Rating
2685 HENRY STREET, MUSKEGON, MI 49441(231) 755-4404(231) 755-7704 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Mar 1, 2023 (2 updates tracked since 2023).

About Mr. Kevin E Sprague Pt NPPES

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

MR. KEVIN E SPRAGUE PT (NPI 1306982079) is an individual physical therapist in Muskegon, Michigan, licensed in Michigan (5501006200) and active in the NPI registry since January 2007. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1306982079
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. KEVIN E SPRAGUECredential: PT
Location Address2685 HENRY STREETMuskegon, MI 49441-3564
Mailing Address18000 Cove Street, Suite 202Spring Lake, MI 49456-1383 · (616) 847-1280 · Fax (616) 847-1290
Fax(231) 755-7704
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
NPI 1306982079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501006200
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

2685 HENRY STREET, Muskegon, MI 49441

Other Identifiers 2

Other0P16250MI · Medicare Id
Other650F111660MI · Bcbsm

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin E Sprague Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274575535
PECOS Enrollment IDI20050526000353

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
427 services47 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
137 services30 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
79 services16 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
36 services14 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
30 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49441 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.79
Promoting Interoperability86
Improvement Activities40
Cost79.97

Other Providers at the Same Location NPPES 6

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

Physical Therapy Assistant
2685 HENRY STREET
MUSKEGON, MI 49441
Physical Therapist
2685 HENRY STREET
MUSKEGON, MI 49441
Physical Therapy Assistant
2685 HENRY STREET, SUITE 202
MUSKEGON, MI 49441
Physical Therapist
2685 HENRY STREET
MUSKEGON, MI 49441
Physical Therapy Assistant
2685 HENRY STREET
MUSKEGON, MI 49441
Occupational Therapist
2685 HENRY STREET
MUSKEGON, MI 49441

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 Kevin Sprague's NPI number?

The NPI number for Kevin Sprague is 1306982079. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Kevin Sprague located?

Kevin Sprague practices at 2685 Henry Street, Muskegon, MI 49441. The listed phone number is (231) 755-4404.

What is Kevin Sprague's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kevin Sprague enrolled in Medicare?

Yes. Kevin Sprague is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Sprague accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kevin Sprague 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 Kevin Sprague was last updated on January 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.