Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Diversified Physical Therapy

Organization Physical Therapist · NPI 1447443072

Diversified Physical Therapy provides Physical Therapist services in Muskegon, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

1595 W Sherman Blvd
Muskegon, MI 49441-3542 Not confirmed with CMS for 19 years — call before visiting
Phone: (231) 755-4404
Fax: (231) 755-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501006200 (MI)

Record details

NPI number1447443072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Sprague — Co-Owner · (231) 755-4404
NPI enumeratedAugust 27, 2007
Last updated in NPPESSeptember 26, 2007
Mailing address4358 Carolyn St, Muskegon, MI 49444-4468

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