Christian Douglas Dawe, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302173 Issued in MI

Practice address

1264 Plainfield Ave NE
Grand Rapids, MI 49505-4929

Phone

(616) 888-7993

Fax

(616) 432-2924

NPI assigned

Sep 19, 2022

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Grand River Physical Therapy Specialists PC

  • Physical Therapist
  • Ionia, MI
  • NPI 1356415483
  NPD
• Ivyrehab Northern PT, LLC

  • Physical Therapy Clinic/Center
  • Sparta, MI
  • NPI 1972592525
  NPD (past)
• Northern Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lyndonville, VT
  • NPI 1164509980

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1023730819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054929",
            "telephone_number": "616-888-7993",
            "fax_number": "616-432-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 S State Rd",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488469478",
            "country_code": "US",
            "telephone_number": "616-522-0066",
            "fax_number": "616-527-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 W Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MI",
            "postal_code": "493310016",
            "country_code": "US",
            "telephone_number": "616-987-0019",
            "fax_number": "616-965-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWE",
        "first_name": "CHRISTIAN",
        "middle_name": "DOUGLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristen Davis
• William Wilder Davis III, M.D.
• Linsey Rae Davison, AGACNP-BC
• Mubarak Alhassan Dawaki, M.D.,
• Janna Dawdy, RN
• Denise Catherine Dawley, MD
• Dawm, PLC
• Dawn Walcott LLC
• Ann Dawson, LLMSW
• Lily Dawson, PT, DPT

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.