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

Kevin Anthony Bazan, DPT

Individual provider Physical Therapist · NPI 1912447244

Kevin Anthony Bazan, DPT is a Physical Therapist in Private Practice in Saint Johns, Michigan. Graduated from University of Michigan Medical School in 2007, 19 years ago. Practices with Michigan Rehabilitation Specialists of Fowlerville LLC, a 125-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1005 S US Highway 27 Ste 100
Saint Johns, MI 48879-2423
Phone: (989) 224-3000
Fax: (989) 224-1424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501013922 (MI)

Record details

NPI number1912447244
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 6, 2017
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Michigan Rehabilitation Specialists Of Fowlerville Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Johns