OrganizationActive
Lacey Physical Therapy Center Incorporated
NPI 1164649497 · Specialist · Mattawan, MI
Lacey Physical Therapy Center Incorporated is a Specialist organization in Mattawan, MI (NPI 1164649497).
Provider details
- NPI number
- 1164649497
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Lacey, President(269) 668-5930
- License
- 5501010346 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23211 Red Arrow Hwy
Mattawan, MI 49071-9701
Phone: (269) 668-5930
Fax: (269) 668-5921
Street-level locationGet directions
Mailing address
23211 Red Arrow Hwy
Mattawan, MI 49071-9701
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Frequently asked questions
- What is Lacey Physical Therapy Center Incorporated's NPI number?
- Lacey Physical Therapy Center Incorporated's National Provider Identifier (NPI) is 1164649497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lacey Physical Therapy Center Incorporated?
- Lacey Physical Therapy Center Incorporated is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lacey Physical Therapy Center Incorporated located?
- Lacey Physical Therapy Center Incorporated's practice location on file with NPPES is 23211 Red Arrow Hwy, Mattawan, MI 49071-9701.
- What is Lacey Physical Therapy Center Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Lacey Physical Therapy Center Incorporated is (269) 668-5930.
- Who is the authorized official for Lacey Physical Therapy Center Incorporated?
- The authorized official listed on Lacey Physical Therapy Center Incorporated's NPPES record is Kevin Lacey, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lacey Physical Therapy Center Incorporated's NPI active?
- Yes — Lacey Physical Therapy Center Incorporated's NPI (1164649497) is active in the NPPES registry as of the last update on 2021-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.