Individual provider Active NPI

Michelle Van Oss, PT, DPT

  • Physical Therapist
  • Holland, MI
National Provider Identifier
1023407749
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017260 Issued in MI
Practice address
854 Washington Ave Ste 200
Holland, MI 49423-7143
Phone
(616) 392-9430
Fax
(616) 392-5257
NPI assigned
Jan 19, 2015
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2797 NE
Physical Therapist 225100000X 004443 IA
Physical Therapist 225100000X 5501017260 MI Primary

Addresses

Primary practice location

854 Washington Ave Ste 200
Holland, MI 49423-7143

Mailing address

854 Washington Ave Ste 200
Holland, MI 49423-7143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527001344 MI Practitioner - Physical Therapist in Private Practice 6406117936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2797NEMDInternal Medicine Physician
004443IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince May 26, 2021 Accepting new patients
Physiotherapy Associates Inc PastSince Dec 17, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Dec 17, 2023 Accepting new patients
Conilogue PT LLC Physical Therapist PastSince Mar 1, 2019 Accepting new patients

Locations

3282 Stadium Dr
Kalamazoo, MI 49008
Phone (269) 375-1400

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

13329 Portage Rd
Vicksburg, MI 49097
Phone (269) 649-2400

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1023407749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 WASHINGTON AVE STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 WASHINGTON AVE STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237143",
            "telephone_number": "616-392-9430",
            "fax_number": "616-392-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OSS",
        "first_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2797",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017260",
            "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 Dec 11, 2023; 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.