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

Nathan Keniston, DPT

Individual provider Physical Therapist · NPI 1013385806

Nathan Keniston, DPT is a Physical Therapist in Private Practice in Kalamazoo, Michigan. Qualified in 2015, 11 years ago. Practices with Alliance Physical Therapy Group LLC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Michigan and Oregon.

Years since qualifying
11
Licensed in
IL, MI, OR
In the registry since
2015
Specialties on file
3
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

5886 Venture Park Dr
Kalamazoo, MI 49009-1848
Phone: (269) 375-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2780 E Barnett Rd Ste 200, Medford, OR 97504 — (541) 779-6250

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501017367 (MI)
Physical Therapist Taxonomy 225100000X · Licence 63210 (OR)
Physical Therapist Taxonomy 225100000X · Licence 070022218 (IL)

Record details

NPI number1013385806
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2015
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Alliance Physical Therapy Group Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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