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

Kyle Niswonger

Individual provider Athletic Trainer · NPI 1215329826

Kyle Niswonger is registered under Physical Therapist in Private Practice in Holland, Michigan. Qualified in 2022, 4 years ago. Practices with Ivyrehab Michigan LLC, a 155-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2015
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Practice location Address checks out

141 E 12th St
Holland, MI 49423-3607
Phone: (248) 804-7447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1215329826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESMay 25, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Michigan Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients47
Services billed 1,207 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ivyrehab Michigan LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 155 clinicians in the practice; 12 are shown here.

Other providers in Holland