OrganizationActive
Jdr74 Holdings, LLC
NPI 1649779331 · Physical Therapist · Dewitt, MI
Provider details
- NPI number
- 1649779331
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Raborn, Physical Therapist(517) 449-7173
- License
- 5501014355 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
13060 S US Highway 27 Ste C4
Dewitt, MI 48820-9319
Phone: (517) 449-7173
Street-level locationGet directions
Mailing address
13060 S US Highway 27 Ste C4
Dewitt, MI 48820-9319
Other names (DBA / former)
- Other name
- 5 Star Physical Therapy Specialists
Registry dates
- Enumerated
- 2018-02-07
- Last updated
- 2018-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.