Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Calvin Jacob Moeller

Individual provider Physical Therapist · NPI 1760246466

Calvin Jacob Moeller is a Physical Therapist in Private Practice in Lansing, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2023, 3 years ago. Practices with Premier Rehabilitation, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
Oakland Univ, William Beaumont School of Medicine
In the registry since
2024
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Practice location Address checks out

3315 E Michigan Ave Ste 6
Lansing, MI 48912-4649
Phone: (810) 335-1902
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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 5501303220

Record details

NPI number1760246466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 12, 2024
Mailing address3315 E Michigan Ave Ste 6, Lansing, MI 48912-4649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Premier Rehabilitation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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