Emma Kay Vandekieft, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008302 Issued in MI

Practice address

2591 44TH St SE Ste 101
Grand Rapids, MI 49512-9094

Phone

(616) 281-9237

NPI assigned

Apr 19, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Grand Rapids, MI
  • NPI 1588775373
  NPD (past)
• Physiotherapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Battle Creek, MI
  • NPI 1023124823
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1023705209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 THORNAPPLE RIVER DR SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493029765",
            "telephone_number": "616-581-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 44TH ST SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495129094",
            "telephone_number": "616-281-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEKIEFT",
        "first_name": "EMMA",
        "middle_name": "KAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Marion-Stacy Vandebunte, NP
• Anita Dawn Vandeburg, M.D.
• Stason Schafer Vandegrift, MD
• Erica Vandekerckhove
• Catherine Anne Vandekieft
• Carol Vandelin, M.S.W.
• Sarah Marie Vanden Berge
• Joseph Yared Vanden Bosch, MD
• Alicia Beth Vanden Bussche Jantz, PHD
• Kristin Kay Vanden Hoek, PSYD

• Physical Therapy Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.