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EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP
NPI 1962515809
Clinic/Center - Physical Therapy in Harrison, MI

Active since August 16, 2006
158 NORTH FIRST STREET, SUITE D, HARRISON, MI 48625(989) 539-4167(989) 539-4436 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Evergreen Physical Therapy Limited Partnership NPPES

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

EVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP (NPI 1962515809) is a healthcare organization registered as a physical therapy in Harrison, Michigan and active in the NPI registry since August 2006. The organization lists Janna P. King, Vp, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962515809
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameEVERGREEN PHYSICAL THERAPY LIMITED PARTNERSHIP
Location Address158 NORTH FIRST STREET, SUITE DHarrison, MI 48625
Mailing Address1300 W Sam Houston Pkwy S, Suite 300Houston, TX 77042-2447 · (713) 297-7000 · Fax (713) 297-7090
Phone(989) 539-4167
Fax(989) 539-4436
Organization SubpartNo
Authorized OfficialJanna P. KingVp, Authorized Official · (713) 297-7000
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1962515809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Physical Therapy Limited Partnership is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Evergreen Physical Therapy Limited Partnership, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (12)

Matthew Blick, PHYSICAL THERAPIST
Physical Therapist in Private Practice
NPI 1750809455
331 E WRIGHT AVE
Shepherd, MI 48883
(989) 567-1300
✔ Accepts Medicare
Cassandra Davis, DPT
Physical Therapist in Private Practice
NPI 1811534589
1268 PERRY AVE
Big Rapids, MI 49307
(231) 796-4419
✔ Accepts Medicare
Jennifer Hardesty, PT
Physical Therapist in Private Practice
NPI 1417113564
1268 PERRY AVE
Big Rapids, MI 49307
(231) 796-4419
✔ Accepts Medicare
Jason Hockemeyer, DPT, PT
Physical Therapist in Private Practice
NPI 1346738283
2600 N SAGINAW RD STE C
Midland, MI 48640
(989) 837-1529
✔ Accepts Medicare
Carissa Jenema, DPT, PT
Physical Therapist in Private Practice
NPI 1831063718
1268 PERRY AVE
Big Rapids, MI 49307
(231) 796-4419
✔ Accepts Medicare
Jennifer Kohn
Physical Therapist in Private Practice
NPI 1982001491
1268 PERRY AVE
Big Rapids, MI 49307
(231) 796-4419
✔ Accepts Medicare
Mitchell Mcmillan, M.S.P.T.
Physical Therapist in Private Practice
NPI 1376643320
158 N 1ST ST SUITE D
Harrison, MI 48625
(989) 539-4167
✔ Accepts Medicare
Trisha Mcmillan, PT
Physical Therapist in Private Practice
NPI 1659330702
107 SCHOOLCREST
Clare, MI 48617
(989) 386-9170
✔ Accepts Medicare
Mitchell Millar, DPT
Physical Therapist in Private Practice
NPI 1750828182
2600 N SAGINAW RD STE C
Midland, MI 48640
(989) 837-1529
✔ Accepts Medicare
Kristi Owens
Physical Therapist in Private Practice
NPI 1598168064
1206 N STATE ST
Gladwin, MI 48624
(989) 246-2311
✔ Accepts Medicare
Margaret Taylor, PT, DPT
Physical Therapist in Private Practice
NPI 1740763143
107 SCHOOLCREST AVE
Clare, MI 48617
(989) 386-9170
✔ Accepts Medicare
Charles Zelkowski, DPT
Physical Therapist in Private Practice
NPI 1922445964
158 N 1ST ST SUITE D
Harrison, MI 48625
(989) 539-4167
✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evergreen Physical Therapy Limited Partnership's NPI number?

The NPI number for Evergreen Physical Therapy Limited Partnership is 1962515809. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Evergreen Physical Therapy Limited Partnership located?

Evergreen Physical Therapy Limited Partnership is located at 158 North First Street Suite D, Harrison, MI 48625. The listed phone number is (989) 539-4167.

What is Evergreen Physical Therapy Limited Partnership's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Evergreen Physical Therapy Limited Partnership enrolled in Medicare?

Yes. Evergreen Physical Therapy Limited Partnership is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Physical Therapy Limited Partnership?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Evergreen Physical Therapy Limited Partnership. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evergreen Physical Therapy Limited Partnership accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Evergreen Physical Therapy Limited Partnership 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 Evergreen Physical Therapy Limited Partnership was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.