Level 11 Physical Therapy
Level 11 Physical Therapy is a healthcare organization registered as Rehabilitation Clinic/Center in Holly, MI, holding Type 2 (organization) NPI 1730317785 since 2009. The authorized official on file is Angie Mattingly, Mgr Provider Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730317785 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Level 11 Physical Therapy |
| Other name | <Unavail> |
| Practice address | 10483 DIXIE HWY, Holly, MI, 48442 |
| Phone | 8107717686 |
| Fax | 8107717685 |
| Enumeration date | 2009-06-29 |
| Last updated in NPPES | 2023-09-26 |
Authorized official
| Name | Angie Mattingly |
|---|---|
| Title | Mgr Provider Enrollment |
| Phone | 5024202512 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0400X | Rehabilitation Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Level 11 Physical Therapy NPI: 1730317785 Taxonomy: 261QR0400X (Rehabilitation Clinic/Center) Address: 10483 DIXIE HWY, Holly, MI, 48442
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952686065 | Amy Selby | Individual | Physical Therapist | Holly, MI |
| 1487075669 | Nicholas Monday | Individual | Physical Therapist | Holly, MI |
| 1003277583 | Abigail Hereau | Individual | Physical Therapist | Holly, MI |
| 1730607896 | Kayla Tubergen | Individual | Occupational Therapist | Holly, MI |
| 1326551201 | Marrissa Tackett | Individual | Recreation Therapist | Holly, MI |
| 1962916692 | Dixie Lodge, LLC | Organization | Physical Disabilities Residential Treatment Facility | Holly, MI |
| 1063914646 | Heather Hepper | Individual | Physical Therapist | Holly, MI |
| 1679063267 | Casey Polteraitis | Individual | Speech-Language Pathologist | Holly, MI |
Verify this record
Cross-check NPI 1730317785 against the authoritative CMS record: view Level 11 Physical Therapy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Level 11 Physical Therapy located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-26.