Gina E Houtteman, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010194 Issued in MI

Practice address

541 E Slocum St
Whitehall, MI 49461-1199

Phone

(318) 931-0772

Fax

(616) 847-1290

NPI assigned

Mar 9, 2020

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Sport and Spine PLLCGroup PAC ID 4284673575, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoreline Sport & Spine PLLC

  dba i'move

  • Physical Therapist
  • Spring Lake, MI
  • NPI 1225040694
  Medicare reassignment Care Compare group NPD
• Shoreline Sport & Spine PLLC

  dba i'move

  • Physical Therapist
  • Muskegon, MI
  • NPI 1619787959
  NPD

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1023643285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 COVE ST STE 202",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561383",
            "telephone_number": "616-847-1280",
            "fax_number": "616-847-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 E SLOCUM ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611199",
            "telephone_number": "318-931-0772",
            "fax_number": "616-847-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUTTEMAN",
        "first_name": "GINA",
        "middle_name": "E",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackley Hospital (Hackley Workplace Health Whitehall)
• Hackley Professional Pharmacy (Hackley Pharmacy Whitehall)
• Isabel Susan Marie Hammond
• Eric Charles Haynes, DO
• Heartland of Whitehall Mi LLC (Heartland Health Care Center - Whitehall)
• HPCN (Lakeshore Medical Center)
• HPCN (Lakeshore Medical Center)
• Wayne Stewart Jackson, OD
• Kima Johnson, FNP
• Kelly's Kare Afc

• Physical Therapist in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.