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

Dr. Kyle Martin Heise, PT, DPT

Individual provider Physical Therapist · NPI 1063009587

Dr. Kyle Martin Heise, PT, DPT is a Physical Therapist in Private Practice in Canton, Michigan. Qualified in 2020, 6 years ago. Practices with Back to You Rehab PLLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

39933 Ford Rd
Canton, MI 48187-4400
Phone: (248) 733-4325
Fax: (248) 268-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23965 Novi Rd Ste 150, Novi, MI 48375-0203 — (248) 513-3730

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501019887 (MI)

Record details

NPI number1063009587
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Back To You Rehab Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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