Organization Active NPI

Nephew Services Inc

  • Physical Therapist
  • Holland, MI
National Provider Identifier
1023326717
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010233 Issued in MI
Legal business name
NEPHEW SERVICES INC
Practice address
91 Douglas Ave Ste 140
Holland, MI 49424-2183
Phone
(616) 796-9391
Fax
(888) 714-4474
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa Marie Meiste, PTNPI 1992754188
Title
President
Phone
(616) 796-9391

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501010233 MI Primary

Addresses

Primary practice location

91 Douglas Ave Ste 140
Holland, MI 49424-2183

Mailing address

91 Douglas Ave Ste 140
Holland, MI 49424-2183
Phone (616) 796-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000397 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557548336 Receives reassigned benefits from 3 practitioners
Practice locations: Holland, MI

National Provider Directory

National Provider Directory

Locations

12723 N Bellwood Dr
Ste 10
Holland, MI 49424
Phone (616) 796-9391

91 Douglas Ave
Ste 140
Holland, MI 49424
Phone (616) 228-3148

12723 N Bellwood Dr
Holland, MI 49424
Phone (616) 796-9391

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1023326717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 DOUGLAS AVE STE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242183",
            "telephone_number": "616-796-9391",
            "fax_number": "888-714-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 DOUGLAS AVE STE 140",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242183",
            "telephone_number": "616-796-9391",
            "fax_number": "888-714-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHEW SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "MEISTE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-796-9391",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.