Active NPI
Michelle Van Oss, PT, DPT
- Physical Therapist
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017260
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2797 | NE | MD | Internal Medicine Physician |
| 004443 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Conilogue PT LLC | Physical Therapist | Past | 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.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Physical Therapist
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Kalamazoo, MI
- NPI 1811091986
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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.