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

Kevin Frederick Churchill, DPT

Individual provider Physical Therapist · NPI 1457624942

Kevin Frederick Churchill, DPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2010, 16 years ago. Practices with Hulst Jepsen Physical Therapy Inc, a 133-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4120 E Beltline NE Ste 200
Grand Rapids, MI 49525
Phone: (616) 365-2709
Fax: (616) 785-1201
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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 5501015557 (MI)

Record details

NPI number1457624942
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 15, 2012
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hulst Jepsen Physical Therapy Inc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids